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

页码：486 / 491

页数：6

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