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Dergiler / Turkish journal of emergency medicine (Online) / 2021 / Cilt: 21 - Sayı: 1

A rare complication of extracorporeal membrane oxygenation and thrombolytic treatment in a patient with massive pulmonary embolism: Intraperitoneal hemorrhage

Sefer OZGUR
Ersin AKSAY
Aysen AYDIN KACAR
Sayfa
34–37
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

We present the case of a 22-year-old male who underwent ECMO, systemic fibrinolysis, and cardiopulmonary resuscitation because of massive PE and subsequently developed intraperitoneal bleeding.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Massive pulmonary embolism (PE) is one of the important emergencies that needs aggressive treatment for decreasing the risk of death.
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Temel Bulgular & Veri:Extracorporeal membrane oxygenation (ECMO) and fibrinolysis should be considered in patients with failure in oxygenation and perfusion despite invasive mechanical ventilation and vasopressor treatment.
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Sonuç & Katkı:We present the case of a 22-year-old male who underwent ECMO, systemic fibrinolysis, and cardiopulmonary resuscitation because of massive PE and subsequently developed intraperitoneal bleeding.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Massive pulmonary embolism (PE) is one of the important emergencies that needs aggressive treatment for decreasing the risk of death. Extracorporeal membrane oxygenation (ECMO) and fibrinolysis should be considered in patients with failure in oxygenation and perfusion despite invasive mechanical ventilation and vasopressor treatment. We present the case of a 22-year-old male who underwent ECMO, systemic fibrinolysis, and cardiopulmonary resuscitation because of massive PE and subsequently developed intraperitoneal bleeding.

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Bu Makaleye Atıf Yap

OZGUR, S., AKSAY, E., KACAR, A. A. (2021). A rare complication of extracorporeal membrane oxygenation and thrombolytic treatment in a patient with massive pulmonary embolism: Intraperitoneal hemorrhage. Turkish journal of emergency medicine (Online), Cilt: 21 - Sayı: 1, 34–37. https://ajindex.com/articles/417316

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Kaynakça (8)

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  2. Konstantinides SV, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galiè N, et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2014;35:3033‑69, 3069a‑k
  3. Northey LC, Shiraev T, Omari A. Salvage intraosseous thrombolysis and extracorporeal membrane oxygenation for massive pulmonary embolism. J Emerg Trauma Shock 2015;8:55‑7
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  5. Meneveau N, Guillon B, Planquette B, Piton G, Kimmoun A, Gaide‑Chevronnay L, et al. Outcomes after extracorporeal membrane oxygenation for the treatment of high‑risk pulmonary embolism: A multicentre series of 52 cases. Eur Heart J 2018;39:4196‑204
  6. Corsi F, Lebreton G, Bréchot N, Hekimian G, Nieszkowska A, Trouillet JL, et al. Life‑threatening massive pulmonary embolism rescued by venoarterial‑extracorporeal membrane oxygenation. Crit Care. 2017;21:76
  7. George B, Parazino M, Omar HR, Davis G, Guglin M, Gurley J, et al. A retrospective comparison of survivors and non‑survivors of massive pulmonary embolism receiving veno‑arterial extracorporeal membrane oxygenation support. Resuscitation 2018;122:1‑5
  8. Ranney D, Hatch S, Bonadonna D, Daneshmand M. ECMO Flow as a Sign of Intraabdominal Hemorrhage After Prolonged CPR. ASAIO J 2019;65:e55‑7.