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KMID : 0191120140290050735
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Journal of Korean Medical Science
2014 Volume.29 No. 5 p.735 ~ p.738
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Thrombolytic Therapy Complemented by ECMO: Successful Treatment for A Case of Massive Pulmonary Thromboembolism with Hemodynamic Collapse
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Chon Min-Ku
Park Yong-Hyun
Choi Jin-Hee
Lee Sang-Hyun
Kim Jeong-Su
Kim Jun
Kim June-Hong
Chun Kook-Jin
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Abstract
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Pulmonary thromboembolism (PTE) is a common clinical condition related to significant mortality. Furthermore, patients with PTE presenting with right heart thrombus show higher mortality due to rapid hemodynamic deterioration. But the optimal treatment of massive PTE is controversial although various methods have been developed and improved. Here, we presented a case of 56-yr-old woman with massive PTE showing hemodynamic collapse, who was successfully treated with extracorporeal membrane oxygenation (ECMO) adjunct to thrombolytic therapy even without thrombectomy. ECMO was useful for resuscitation and stabilization of the cardiopulmonary function. In conclusion, thrombolytic therapy complemented by ECMO may be an effective treatment option for acute massive PTE with hemodynamic instability.
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KEYWORD
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Pulmonary Thromboembolism, Extracorporeal Membrane Oxygenation, Percutaneous Cardiopulmonary Support, Thrombolysis
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