Veno-Arterial Extracorporeal Membrane Oxygenation and Thrombectomy for Massive Pulmonary Embolism

Authors

  • Raymond J Strobel, MD, MSc University of Virginia Department of Surgery, Division of Cardiac Surgery, Charlottesville, VA, USA https://orcid.org/0000-0002-3129-3980
  • Minhaj S Khaja, MD, MBA University of Virginia Department of Radiology and Medical Imaging, Division of Vascular and Interventional Radiology, Charlottesville, VA, USA
  • Adithya Peruri, MD University of Virginia Department of Medicine, Division of Cardiovascular Medicine, Charlottesville, VA, USA
  • Matthew Mullen, MD University of Virginia Department of Surgery, Division of Cardiac Surgery, Charlottesville, VA, USA
  • Alexandra Kadl, MD University of Virginia Department of Medicine, Division of Pulmonary and Critical Care Medicine, Charlottesville, VA, USA
  • Aditya Sharma, MBBS University of Virginia Department of Medicine, Division of Cardiovascular Medicine, Charlottesville, VA, USA
  • Nicholas R Teman, MD University of Virginia Department of Surgery, Division of Cardiac Surgery, Charlottesville, VA, USA

DOI:

https://doi.org/10.1532/hsf.4435

Keywords:

ECMO, PE, Shock, Thrombectomy

Abstract

Massive pulmonary embolism (PE) is associated with high mortality rates. Pulmonary Embolism Response Team (PERT) collaboration with prompt access to veno-arterial extracorporeal membrane oxygenation (VA ECMO) during mechanical or aspiration thrombectomy for massive PE can be life-saving; ECMO stand-by should be considered for high-risk cases. We describe a case of massive PE treated with intraprocedural VA ECMO during the catheter-directed intervention.

References

Al-Bawardy R, Rosenfield K, Borges J, et al. 2019. Extracorporeal membrane oxygenation in acute massive pulmonary embolism: a case series and review of the literature. Perfusion. 34(1):22-28.

Jaff MR, McMurtry MS, Archer SL, et al. 2011. Management of Massive and Submassive Pulmonary Embolism, Iliofemoral Deep Vein Thrombosis, and Chronic Thromboembolic Pulmonary Hypertension. Circulation. 123(16):1788-1830.

Myc LA, Solanki JN, Barros AJ, et al. 2020. Adoption of a dedicated multidisciplinary team is associated with improved survival in acute pulmonary embolism. Respir Res. 21(1):159.

Pasrija C, Kronfli A, George P, et al. 2018. Utilization of Veno-Arterial Extracorporeal Membrane Oxygenation for Massive Pulmonary Embolism. Ann Thorac Surg. 105(2):498-504.

Pasrija C, Shah A, George P, et al. 2018. Triage and optimization: A new paradigm in the treatment of massive pulmonary embolism. J Thorac Cardiovasc Surg. 156(2):672-681.

Published

2022-03-24

How to Cite

Strobel, R., Khaja, M., Peruri, A., Mullen, M., Kadl, A. ., Sharma, A., & Teman, N. (2022). Veno-Arterial Extracorporeal Membrane Oxygenation and Thrombectomy for Massive Pulmonary Embolism. The Heart Surgery Forum, 25(2), E241-E242. https://doi.org/10.1532/hsf.4435

Issue

Vol. 25 No. 2 (2022)

Section

Article
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