Acute pulmonary artery embolism during transcatheter embolization: successful resuscitation with veno-arterial extracorporeal membrane oxygenation

Anesthesia and Analgesia
Ingrid HallerFranz J Wiedermann

Abstract

Versatile particles from transcatheter embolization may accidentally enter the pulmonary circulation, causing severe pulmonary embolism. A 36-yr-old woman patient suffering from an arteriovenous malformation in the left shoulder underwent embolization with micro coils, N-butyl-2-cyanoacrylate/lipiodol and polyvinyl alcohol particles. During embolization, acute onset of tachycardia, hypotension, and decline in oxygen saturation indicated right ventricular failure and decreased pulmonary perfusion confirmed by angiography. As mechanical resuscitation failed to stabilize cardiocirculatory function, veno-arterial extracorporeal membrane oxygenation support was preformed until hemodynamic stability was regained. Extracorporeal membrane oxygenation should be considered for cases where pulmonary embolism causes right ventricular failure and circulatory arrest during transcatheter embolization.

References

Nov 9, 1991·BMJ : British Medical Journal·D J Allison, A Kennedy
Nov 5, 1982·JAMA : the Journal of the American Medical Association·B S LeitmanH Firooznia
Aug 5, 1961·JAMA : the Journal of the American Medical Association·D A COOLEYJ K ALEXANDER
Oct 18, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hideki HyodohMasato Hareyama
Aug 25, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Sung Ki ChoIn-Wook Choo
Apr 7, 2007·The Journal of Trauma·Paul MaggioRobert Bartlett

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Citations

Oct 17, 2012·Medizinische Klinik, Intensivmedizin und Notfallmedizin·J SwolT A Schildhauer
Sep 23, 2010·Critical Care : the Official Journal of the Critical Care Forum·Laura C PriceStephen J Brett
Feb 22, 2011·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Yi-Hsin LiangYih-Leong Chang
Aug 28, 2015·Der Anaesthesist·D Wally, C Velik-Salchner
Jun 9, 2009·Anaesthesia and Intensive Care·P Forrest

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