AI Article Synopsis
- Massive pulmonary embolism (PE) is a serious risk after major surgery with high mortality rates, and VA-ECMO is a treatment option for stabilizing patients.
- A case study highlighted a patient with brain trauma who suffered massive PE and cardiac arrest, necessitating urgent VA-ECMO, leading to significant recovery.
- Ongoing research is needed to assess the safety and effectiveness of ECMO for craniocerebral injuries and to determine the best treatment protocols.
Article Abstract
Introduction: Massive pulmonary embolism (PE) is a life-threatening complication of major surgery with a mortality rate of up to 50%. Extracorporeal membrane oxygenation (ECMO) is primarily used for respiratory and circulatory support. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is used to stabilize patients with acute massive PE. Acute brain injury, vascular disease, and immunosuppression are contraindications to ECMO, as stated in the 2021 Extracorporeal Life Support Organization guidelines.
Case Summary: We report a case of a patient with craniocerebral trauma whose postoperative course was complicated by massive PE and subsequent cardiac arrest that required urgent VA-ECMO, followed by anticoagulation with heparin. The patient showed hemodynamic improvement and was discharged 68 days after hospitalization.
Discussion: ECMO has gradually been accepted for patients with craniocerebral injuries. The safety and effectiveness of ECMO in patients with craniocerebral injury, along with the optimal duration of ECMO and anticoagulation strategies, require further study.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10287020 | PMC |
| http://dx.doi.org/10.3389/fcvm.2023.1200553 | DOI Listing |
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