| Treatment of massive pulmonary embolism utilizing a multidisciplinary approach: a case study. | |
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MedLine Citation:
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PMID: 19793777 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Massive pulmonary embolism (PE) is associated, historically, with a high mortality rate.Treatment options include systemic anticoagulation, catheter-directed thrombolytic therapy, surgical embolectomy, fragmentation techniques, and catheter embolectomy. Extracorporeal membrane oxygenation (ECMO) repeatedly has demonstrated effectiveness in providing cardiopulmonary support for the patient with a massive PE too unstable to undergo thrombolysis or embolectomy. The present case study describes a morbidly obese patient, status post gastric bypass surgery, who presented with PE, and acute respiratory and cardiac failure. A description of the patient's management plan, which includes a simple, rapidly deployed ECMO system (Levitronix CentriMag And Jostra Quadrox D), systemic- and catheter-directed thrombolytic therapy and rheolytic thrombectomy (AngioJet Series 3000, Possis Medical, Minneapolis, MN). |
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Authors:
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Kevin E Griffith; Eric Jenkins; Jonathan Haft |
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Publication Detail:
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Type: Journal Article Date: 2009-09-30 |
Journal Detail:
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Title: Perfusion Volume: 24 ISSN: 1477-111X ISO Abbreviation: Perfusion Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-11-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8700166 Medline TA: Perfusion Country: England |
Other Details:
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Languages: eng Pagination: 169-72 Citation Subset: IM |
Affiliation:
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Cardiovascular Perfusion Services, University of Michigan Hospitals, Ann Arbor, Michigan 48109-5863, USA. kegriff@umich.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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