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Successful use of a new hand-held ECMO system in cardiopulmonary failure and bleeding shock after thrombolysis in massive post-partal pulmonary embolism

Department of Anesthesiology, Air-Medical Service, University Hospital Regensburg, Regensburg, Germanymatthias.arlt{at}klinik.uni-regensburg.de

A Philipp

Department of Cardiothoracic Surgery, University Hospital Regensburg, Regensburg, Germany

I Iesalnieks

Department of Surgery, University Hospital Regensburg, Regensburg, Germany

R Kobuch

Department of Cardiothoracic Surgery, University Hospital Regensburg, Regensburg, Germany

BM Graf

Department of Anesthesiology, Air-Medical Service, University Hospital Regensburg, Regensburg, Germany

Massive pulmonary embolism (PE) leads to cardiogenic shock and is associated with mortality rates of up to 75%.1 We report on a 27-year-old mother in childbirth who developed a massive post-partal PE and cardiac arrest. Despite mechanical resuscitation, return of spontaneous circulation (ROSC) could not be achieved. After systemic thrombolysis, ROSC returned, but cardiopulmonary failure was persisting, complicated by massive bleeding shock. By using a newly developed, hand-held ECMO system, systemic blood flow and oxygenation were restored and emergency medical services for advanced surgical treatment (hysterectomy and pulmonary embolectomy) were possible. The patient recovered completely. We assume that this newly developed hand-held ECMO device enables rapid onset mechanical life support and improves the prognosis of patients in fatal conditions.

Key Words: cardiopulmonary resuscitation • emergency medical service • extracorporeal life support • hand-held ECMO • pulmonary embolism • shock • thrombolysis

Perfusion, Vol. 24, No. 1, 49-50 (2009)
DOI: 10.1177/0267659109106295


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