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ISSN: 2638-5368

Advancements in Cardiovascular Research

Case Report(ISSN: 2638-5368)

Extracorporeal Membrane Oxygenation for Failed TPA Therapy of Pulmonary Embolism

Volume 1 - Issue 4

Joshua Newman1,2, David Park1 and Frank Manetta1, 2*

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    • 1Department of Cardiovascular and Thoracic Surgery, USA
    • 2Department of Hofstra North Shore LIJ School of Medicine, Hofstra University, USA

    *Corresponding author: Frank Manetta, Department of Cardiovascular and Thoracic Surgery, North Shore University Hospital

Received: September 14, 2018;   Published: September 21, 2018

DOI: 10.32474/ACR.2018.01.000116

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Abstract

Pulmonary embolism may cause cardiac arrest secondary to obstruction of blood flow. Traditional treatment strategies include anticoagulation, thrombolysis, and mechanical extraction. Some advocate for support with extra corporeal membrane oxygenation (ECMO); however, surgical therapies are contraindicated following thrombolytics. We describe the emergent use of peripheral ECMO following thrombolytic therapy for a saddle pulmonary embolism associated with multiple episodes of cardiac arrest. The patient was stabilized with peripheral ECMO, anticoagulated and subsequently weaned from ECMO without any major bleeding complications. The administration of thrombolytics should not be a contraindication for ECMO in patients with massive pulmonary embolism associated with hemodynamic instability.

Abstract| Introduction| Case Report| Comments and Conclusion| References|

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