6533b7d9fe1ef96bd126d6fc
RESEARCH PRODUCT
Successful Management of Fulminant Pulmonary Embolism Using a Novel Portable Extracorporeal Life Support System
N KayhanLars Oliver ConzelmannUwe MehlhornChristian F. VahlErnst Weigangsubject
MalePulmonary and Respiratory MedicineResuscitationmedicine.medical_specialtymedicine.medical_treatmentFulminantAdvanced Cardiac Life SupportExtracorporealPulmonary thrombectomymedicineHumansDecompensationEmergency Treatmentbusiness.industryRemission InductionOrgan dysfunctionMiddle Agedmedicine.diseaseSurgeryPulmonary embolismLife supportSurgerymedicine.symptomPulmonary EmbolismCardiology and Cardiovascular Medicinebusinessdescription
A 46-year-old man presented to the emergency room with pain in his left leg, dyspnea, and general cyanosis. During examination he collapsed and required resuscitation. Under suspicion of pulmonary embolism, a new portable "click 'n run" extracorporeal life support system (LIFEBRIDGE-B(2)T [Medizintechnik AG, Ampfing, Germany]) was implanted by the femoral vessels under resuscitation within 15 minutes of presentation. The patient was stabilized, despite severe decompensation (pH, 6.8), and could be transferred for a computed tomographic scan, which confirmed massive pulmonary embolism. Still connected to the life support system, the patient was transferred to the operating room. After a pulmonary thrombectomy was performed, the patient recovered without any organ dysfunction. A portable emergency extracorporeal life support may change clinical practice in the treatment of patients with severe hemodynamic deterioration at emergency care hospitals.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2010-06-13 | The Annals of Thoracic Surgery |