Thrombolytic Therapy Complemented by ECMO: Successful Treatment for A Case of Massive Pulmonary Thromboembolism with Hemodynamic Collapse
Journal of Korean Medical Science
; : 735-738, 2014.
Article
ي En
| WPRIM
| ID: wpr-60724
المكتبة المسؤولة:
WPRO
ABSTRACT
Pulmonary thromboembolism (PTE) is a common clinical condition related to significant mortality. Furthermore, patients with PTE presenting with right heart thrombus show higher mortality due to rapid hemodynamic deterioration. But the optimal treatment of massive PTE is controversial although various methods have been developed and improved. Here, we presented a case of 56-yr-old woman with massive PTE showing hemodynamic collapse, who was successfully treated with extracorporeal membrane oxygenation (ECMO) adjunct to thrombolytic therapy even without thrombectomy. ECMO was useful for resuscitation and stabilization of the cardiopulmonary function. In conclusion, thrombolytic therapy complemented by ECMO may be an effective treatment option for acute massive PTE with hemodynamic instability.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Pulmonary Artery
/
Pulmonary Embolism
/
Warfarin
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Heparin
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Extracorporeal Membrane Oxygenation
/
Thrombolytic Therapy
/
Tissue Plasminogen Activator
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Venous Thrombosis
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Heart
/
Myocardium
المحددات:
Female
/
Humans
اللغة:
En
مجلة:
Journal of Korean Medical Science
السنة:
2014
نوع:
Article