Language
English
Publication Date
1-1-2024
Journal
The Texas Heart Institute Journal
DOI
10.14503/THIJ-24-8425
PMID
39588359
PMCID
PMC11586476
PubMedCentral® Posted Date
11-25-2024
PubMedCentral® Full Text Version
Post-print
Abstract
This article reports the case of a 42-year-old man who presented with a saddle pulmonary embolus complicated by normotensive cardiogenic shock. The patient was first stabilized with venoarterial extracorporeal membrane oxygenation. Then, while the patient was still on extracorporeal membrane oxygenation, thrombectomy with a large-bore catheter device was performed that resulted in a large decrease in pulmonary artery pressures and a clinically significant increase in cardiac index, with rapid clinical improvement. Complete recovery of the patient's cardiopulmonary status has been maintained at intermediate-term follow-up. This treatment strategy should be considered favorably in the treatment of patients presenting with pulmonary embolism complicated by cardiogenic shock.
Keywords
Humans, Pulmonary Embolism, Extracorporeal Membrane Oxygenation, Male, Adult, Shock, Cardiogenic, Embolectomy, Acute Disease, Treatment Outcome, Pulmonary embolism; extracorporeal membrane oxygenation; shock, cardiogenic
Published Open-Access
yes
Recommended Citation
Hugh A Glazier and Amir Kaki, "Use of Extracorporeal Membrane Oxygenation-Facilitated Large-Bore Catheter Embolectomy in the Treatment of Acute Pulmonary Embolism Complicated by Shock" (2024). The Texas Heart Institute Journal. 393.
https://digitalcommons.library.tmc.edu/texasheartinstituejournal/393