Pulmonary Embolism in COVID-19 Treated with VA-ECLS and Catheter tPA.

Arda AkolukUsman MazahirSteven DouediAdel AzizAref ObagiDaniel KissDaniel FlynnEric CostanzoSinan A SimsirMatthew D Saybolt

Published in: Clinical medicine insights. Circulatory, respiratory and pulmonary medicine (2020)

We present the first case of a patient with COVID-19 with massive pulmonary embolism (PE) treated successfully with systemic thrombolysis, VA-ECLS and bail out catheter directed thrombolysis. In our experience catheter directed thrombolysis comes with an acceptable bleeding risk despite use of mechanical circulatory support, particularly with meticulous attention to vascular access and dose response monitoring.

Keyphrases

pulmonary embolism
coronavirus disease
sars cov
inferior vena cava
ultrasound guided
case report
working memory
atrial fibrillation
respiratory syndrome coronavirus
drug induced