Thrombolytic Therapy Complemented by ECMO: Successful Treatment for A Case of Massive Pulmonary Thromboembolism with Hemodynamic Collapse
Journal of Korean Medical Science
; : 735-738, 2014.
Article
en En
| WPRIM
| ID: wpr-60724
Biblioteca responsable:
WPRO
ABSTRACT
Pulmonary thromboembolism (PTE) is a common clinical condition related to significant mortality. Furthermore, patients with PTE presenting with right heart thrombus show higher mortality due to rapid hemodynamic deterioration. But the optimal treatment of massive PTE is controversial although various methods have been developed and improved. Here, we presented a case of 56-yr-old woman with massive PTE showing hemodynamic collapse, who was successfully treated with extracorporeal membrane oxygenation (ECMO) adjunct to thrombolytic therapy even without thrombectomy. ECMO was useful for resuscitation and stabilization of the cardiopulmonary function. In conclusion, thrombolytic therapy complemented by ECMO may be an effective treatment option for acute massive PTE with hemodynamic instability.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Arteria Pulmonar
/
Embolia Pulmonar
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Warfarina
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Heparina
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Oxigenación por Membrana Extracorpórea
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Terapia Trombolítica
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Activador de Tejido Plasminógeno
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Trombosis de la Vena
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Corazón
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Miocardio
Límite:
Female
/
Humans
Idioma:
En
Revista:
Journal of Korean Medical Science
Año:
2014
Tipo del documento:
Article