Successful treatment of peripartum massive pulmonary embolism with extracorporeal membrane oxygenation and catheter-directed pulmonary thrombolytic therapy

被引：15
|
作者：
Weinberg, L. [1 ]
Kay, C. [1 ]
Liskaser, E. [1 ]
Jones, D. [1 ]
Tay, S. [1 ]
Jaffe, S. [1 ]
Seevanayagam, S. [1 ]
Doolan, L. [1 ]
机构：
[1] Austin Hosp, Dept Anaesthesia, Heidelberg, Vic 3081, Australia
来源：
ANAESTHESIA AND INTENSIVE CARE | 2011年 / 39卷 / 03期
关键词：
thromboembolic pulmonary hypertension; peripartum; postpartum; extracorporeal membrane oxygenation; pulmonary thrombolysis; pulmonary vasodilation; CONTINUOUS INTRAVENOUS PROSTACYCLIN; INHALED NITRIC-OXIDE; ARTERIAL-HYPERTENSION; PREGNANCY; EPOPROSTENOL; MANAGEMENT; INFUSION; SURVIVAL; OUTCOMES; PATIENT;
D O I：
10.1177/0310057X1103900323
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Chronic thromboembolic pulmonary hypertension during pregnancy is uncommon but is associated with maternal mortality in excess of 35%. We report a case of decompensated thromboembolic pulmonary hypertension requiring emergency caesarean section and postpartum treatment with extracorporeal membrane oxygenation and thrombolytic therapy with urokinase. The use of extracorporeal membrane oxygenation, catheter-directed pulmonary thrombolytic therapy and other pulmonary vasodilators for management of this life-threatening disease is discussed.
引用
收藏
页码：486 / 491
页数：6
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