Document Detail


Treatment of massive pulmonary embolism utilizing a multidisciplinary approach: a case study.
MedLine Citation:
PMID:  19793777     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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).
Authors:
Kevin E Griffith; Eric Jenkins; Jonathan Haft
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Publication Detail:
Type:  Journal Article     Date:  2009-09-30
Journal Detail:
Title:  Perfusion     Volume:  24     ISSN:  1477-111X     ISO Abbreviation:  Perfusion     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-11-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8700166     Medline TA:  Perfusion     Country:  England    
Other Details:
Languages:  eng     Pagination:  169-72     Citation Subset:  IM    
Affiliation:
Cardiovascular Perfusion Services, University of Michigan Hospitals, Ann Arbor, Michigan 48109-5863, USA. kegriff@umich.edu
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