Mechanical circulatory assist for pulmonary embolism

被引:20
作者
Misawa, Y [1 ]
Fuse, K [1 ]
Yamaguchi, T [1 ]
Saito, T [1 ]
Konishi, H [1 ]
机构
[1] Jichi Med Sch, Dept Thorac & Cardiovasc Surg, Minami Kawachi, Tochigi 3290498, Japan
来源
PERFUSION-UK | 2000年 / 15卷 / 06期
关键词
D O I
10.1177/026765910001500609
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Optimal management of acute pulmonary embolism remains controversial. despite advances in thrombolytic therapy. Haemodynamic instability and, in particular, right ventricular dysfunction is associated with poor outcomes. Urgent surgical embolectomy has been the treatment of choice in this category of patients. We present two cases in which percutaneous cardiopulmonary support (PCPS) was used as an adjunct to thrombolytic therapy for progressive circulatory collapse secondary to massive acute pulmonary embolism. This experience suggests that PCPS may offer an attractive option for a condition which continues to carry significant morbidity and mortality.
引用
收藏
页码:527 / 529
页数:3
相关论文
共 15 条
[1]   A 30-YEAR SURVEY OF PULMONARY-EMBOLISM VERIFIED AT AUTOPSY - AN ANALYSIS OF 1274 SURGICAL PATIENTS [J].
BERGQVIST, D ;
LINDBLAD, B .
BRITISH JOURNAL OF SURGERY, 1985, 72 (02) :105-108
[2]   THE CLINICAL COURSE OF PULMONARY-EMBOLISM [J].
CARSON, JL ;
KELLEY, MA ;
DUFF, A ;
WEG, JG ;
FULKERSON, WJ ;
PALEVSKY, HI ;
SCHWARTZ, JS ;
THOMPSON, BT ;
POPOVICH, J ;
HOBBINS, TE ;
SPERA, MA ;
ALAVI, A ;
TERRIN, ML .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (19) :1240-1245
[3]   Surgical therapy of fulminant pulmonary embolism: Early and late results [J].
Doerge, H ;
Schoendube, FA ;
Voss, M ;
Seipelt, R ;
Messmer, BJ .
THORACIC AND CARDIOVASCULAR SURGEON, 1999, 47 (01) :9-13
[4]   Still missing the boat with fatal pulmonary embolism [J].
Gillies, TE ;
Ruckley, CV ;
Nixon, SJ .
BRITISH JOURNAL OF SURGERY, 1996, 83 (10) :1394-1395
[5]   RECOMBINANT TISSUE-TYPE PLASMINOGEN-ACTIVATOR VERSUS A NOVEL DOSING REGIMEN OF UROKINASE IN ACUTE PULMONARY-EMBOLISM - A RANDOMIZED CONTROLLED MULTICENTER TRIAL [J].
GOLDHABER, SZ ;
KESSLER, CM ;
HEIT, JA ;
ELLIOTT, CG ;
FRIEDENBERG, WR ;
HEISELMAN, DE ;
WILSON, DB ;
PARKER, JA ;
BENNETT, D ;
FELDSTEIN, ML ;
SELWYN, AP ;
KIM, DS ;
SHARMA, GVRK ;
NAGEL, JS ;
MEYEROVITZ, MF .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 20 (01) :24-30
[6]   LONG-TERM EXPERIENCE WITH TRANSVENOUS CATHETER PULMONARY EMBOLECTOMY [J].
GREENFIELD, LJ ;
PROCTOR, MC ;
WILLIAMS, DM ;
WAKEFIELD, TW ;
ABURHAMA, AF ;
CLAGETT, GP ;
LUMSDEN, AB .
JOURNAL OF VASCULAR SURGERY, 1993, 18 (03) :450-458
[7]   Prognostic significance of right ventricular afterload stress detected by echocardiography in patients with clinically suspected pulmonary embolism [J].
Kasper, W ;
Konstantinides, S ;
Geibel, A ;
Tiede, N ;
Krause, T ;
Just, H .
HEART, 1997, 77 (04) :346-349
[8]   Usefulness of extracorporeal membrane oxygenation for treatment of fulminant myocarditis and circulatory collapse [J].
Kawahito, K ;
Murata, SI ;
Yasu, T ;
Adachi, H ;
Ino, T ;
Saito, M ;
Misawa, Y ;
Fuse, K ;
Shimada, K .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 82 (07) :910-911
[9]   Pulmonary embolism: Prospective comparison of spiral CT with ventilation-perfusion scintigraphy [J].
Mayo, JR ;
RemyJardin, M ;
Muller, NL ;
Remy, J ;
Worsley, DF ;
HosseinFoucher, C ;
Kwong, JS ;
Brown, MJ .
RADIOLOGY, 1997, 205 (02) :447-452
[10]  
Misawa Y., 1998, Japanese Journal of Artificial Organs, V27, P578