In:
Vasa, Hogrefe Publishing Group, Vol. 51, No. 5 ( 2022-09), p. 315-319
Abstract:
Summary: A 57-year-old male patient with a history of proximal deep vein thrombosis on vitamin K antagonist therapy, suffered a recent hypertensive intracranial hemorrhage without significant neurological deficit. Three weeks later he presented with bilateral central pulmonary embolism. He had witnessed cardiac arrest and was put on veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Endovascular thrombectomy with an Aspirex device led to a significant improvement of hemodynamics. VA-ECMO was terminated after one day, an IVC filter was inserted, and he was discharged from ICU after 15 days. In conclusion, VA-ECMO and endovascular therapy are rescue strategies in patients with contraindications for thrombolysis.
Type of Medium:
Online Resource
ISSN:
0301-1526
,
1664-2872
DOI:
10.1024/0301-1526/a001019
Language:
English
Publisher:
Hogrefe Publishing Group
Publication Date:
2022
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