Successful pulmonary embolectomy with central extra-corporeal membranous oxygenation for acute pulmonary thromboembolism

The treatment of acute pulmonary thromboembolism with a hemorrhagic condition is quite challenging and it usually presents a clinical dilemma. Pulmonary embolectomy is generally performed with cardiopulmonary bypass; however, cardiopulmonary bypass usually requires full anticoagulation which cannot be used for patients with a hemorrhagic condition. We herein report a successful case of pulmonary embolectomy that was accomplished using central veno-arterial extracorporeal membranous oxygenation, instead of cardiopulmonary bypass, for a patient with an acute fatal pulmonary thromboembolism and hemorrhagic cerebral infarction following lung cancer surgery. Our strategy consists of surgical embolectomy under central veno-arterial extracorporeal membranous oxygenation with partial anticoagulation and the placement of an inferior vena cava filter to prevent recurrence without the use of anticoagulation therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Surgery today - 50(2020), 12 vom: 12. Dez., Seite 1712-1715

Sprache:

Englisch

Beteiligte Personen:

Wada, Hironobu [VerfasserIn]
Nakajima, Takahiro [VerfasserIn]
Suzuki, Hidemi [VerfasserIn]
Ishida, Keiichi [VerfasserIn]
Matsumiya, Goro [VerfasserIn]
Yoshino, Ichiro [VerfasserIn]

Links:

Volltext

Themen:

Anticoagulants
Case Reports
Extracorporeal membranous oxygenation
Journal Article
Pulmonary embolectomy
Pulmonary embolism

Anmerkungen:

Date Completed 26.04.2021

Date Revised 26.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00595-020-02046-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311124763