Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Reisinger, AC; Fandler-Höfler, S; Kreuzer, P; Toth-Gayor, G; Schmidt, A; Gary, T; Rief, P; Eller, P; Brodmann, M.
VA-ECMO and thrombus aspiration in a pulmonary embolism patient with cardiac arrest and contraindications to thrombolytic therapy.
Vasa. 2022; 51(5):315-319
Doi: 10.1024/0301-1526/a001019
(- Case Report)
Web of Science
PubMed
FullText
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- Leading authors Med Uni Graz
- Brodmann Marianne
- Reisinger Alexander Christian
- Co-authors Med Uni Graz
- Eller Philipp
- Fandler-Höfler Simon
- Gary Thomas
- Rief Peter
- Schmidt Albrecht
- Toth-Gayor Gabor
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- Abstract:
- A 57-year-old male patient with a history of proximal deep vein thrombosis on vitamin K antagonist therapy, suffered a recent hypertensive intracranial hemorrhage without significant neurological deficit. Three weeks later he presented with bilateral central pulmonary embolism. He had witnessed cardiac arrest and was put on veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Endovascular thrombectomy with an Aspirex device led to a significant improvement of hemodynamics. VA-ECMO was terminated after one day, an IVC filter was inserted, and he was discharged from ICU after 15 days. In conclusion, VA-ECMO and endovascular therapy are rescue strategies in patients with contraindications for thrombolysis.
- Find related publications in this database (using NLM MeSH Indexing)
- Contraindications - administration & dosage
- Extracorporeal Membrane Oxygenation - administration & dosage
- Heart Arrest - diagnosis, etiology, therapy
- Humans - administration & dosage
- Male - administration & dosage
- Middle Aged - administration & dosage
- Pulmonary Embolism - complications, diagnostic imaging, therapy
- Thrombolytic Therapy - adverse effects
- Thrombosis - administration & dosage
- Find related publications in this database (Keywords)
- Pulmonary embolism
- ECMO
- thrombectomy
- shock
- ICU