Venoarterial extracorporeal membrane oxygenation for "protected" catheter-based embolectomy in high-risk/massive pulmonary embolism.
J Michael BrewerJeffrey SparlingMarc O MaybauerPublished in: Perfusion (2023)
High-risk/massive pulmonary embolism (PE) has a high mortality rate, especially when cardiac arrest occurs. Venoarterial (V-A) extracorporeal membrane oxygenation (ECMO) can rapidly restore and maintain circulation while a decision regarding further care or performance of other interventions takes place. Catheter-based embolectomy (CBE) is a technology that allows for percutaneous access, clot removal, and potential resolution of shock while avoiding sternotomy required for traditional pulmonary embolectomy. Rapid placement of V-A ECMO in patients with high-risk/massive PE prior to CBE may confer circulatory protection before, during, and after the procedure.
Keyphrases
- extracorporeal membrane oxygenation
- pulmonary embolism
- acute respiratory distress syndrome
- cardiac arrest
- ultrasound guided
- inferior vena cava
- respiratory failure
- minimally invasive
- healthcare
- cardiopulmonary resuscitation
- pulmonary hypertension
- mechanical ventilation
- risk factors
- physical activity
- single molecule
- decision making
- cardiovascular events
- heart failure
- left ventricular
- aortic valve replacement
- climate change
- aortic valve
- ejection fraction