Extracorporeal membrane oxygenation improved survival in patients with massive pulmonary embolism

Annals of Saudi Medicine
Donggyu MoonMin Seop Jo

Abstract

Current guidelines for massive pulmonary embolism (PE) treatment recommend primary reperfusion therapy and the option of extracorporeal membrane oxygenation (ECMO). However, these recommendations might not be optimal for patients with poor prognoses who are in cardiogenic shock (CS) or require cardiopulmonary resuscitation (CPR). Evaluate the impact of ECMO support on the clinical outcome of patients with massive PE complicated by CPR or CS. Retrospective review of medical records. A university hospital, South Korea. We collected data on patients from 2004 through 2009 (stage 1) and from 2010 through June 2017 (stage 2). Patients with confirmed massive PE received medical therapy (stage 1) or medical therapy that included extracorporeal membrane oxygen.ation (ECMO) support (stage 2). All-cause mortality at 90 days after therapy. 9 patients with confirmed massive PE that received medical therapy (stage 1); 14 patients with confirmed massive PE that received medical therapy with ECMO support (stage 2). In stage 1, 5 of 9 patients received systemic thrombolysis and 4 patients received anticoagulation. Thirteen of the 14 stage 2 patients received anticoagulation with ECMO support and one patient received systemic thrombolysis with ...Continue Reading

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Citations

Aug 1, 2019·Korean Circulation Journal·Min Suk ChoiYang Hyun Cho
Jul 21, 2021·Journal of Cardiovascular Translational Research·Elona Rrapo KasoAditya M Sharma

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