The application of extracorporeal membrane oxygenation combined with catheter-based intervention in high risk acute pulmonary embolism
Lang Yu-heng
Li Tong
Zhao Cheng-xiu
Hu Xiao-min
Duan Da-wei
Wei Jin
Wu Peng
Gao Wen-qing
Ning Meng
Ma Qun-xing
Abstract：Objective To summarize the experience and therapeutic effect of extracorporeal membrane oxygenation (ECMO) combined with catheter-based intervention in high risk acute pulmonary embolism(APE). Methods Along with ventilator support, 4 patients with high-risk APE were treated by ECMO combined with catheter-based intervention in our hospital from August 2014 to November 2016.3 patients were in cardiac arrest at the time of admission, and 1 patient was in the state of cardiac shock,both of which were supported with cardiopulmonary resuscitation,ventilation and ECMO assistance. Both of them underwent catheter-based intervention after diagnosis with APE.2 patients underwent mechanical fragmentation, thrombolytic therapy, 2 patients underwent mechanical fragmentation therapy,and 1 patient suffered from rupture bleeding of a branch of the internal thoracic artery and underwent embolization therapy during the same period. Results 2 patients did not discharged from ECMO and died after removed ECMO.2 patients were successfully discharged from ECMO and ventilator support.1 of them died with multiple organ failure, and 1 case had no obvious complications, and showed a good follow-up observation. Conclusion ECMO combined with catheter-based intervention provides an effective treatment for patients with high-risk APE,with a good clinical treatment effect.
Keywords：Acute pulmonary embolism (APE )Extracorporeal membrane oxygenation (ECMO)Catheter-based intervention
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 232-236 )