Extracorporeal Membrane Oxygenation for Pulmonary Embolism During Pregnancy and Postpartum
Journal Title: European Archives of Medical Research - Year 2020, Vol 36, Issue 1
Abstract
The maternal and fetal mortality rate in unstable pulmonary embolisms accompanied by obstructive cardiac shock is approximately 30%. An intervention aimed at the pulmonary clot is essential under these conditions. There are various ways of removing this clot from the pulmonary arteries, including thrombolytic administration, percutaneous catheter-based thrombectomy, and direct surgical clot removal. These procedures all have advantages and disadvantages. Increasing use is being made of extracorporeal membrane oxygenation (ECMO) as a means of reducing these risks to a minimum. There are studies recommending ECMO together with thrombolysis or surgical thrombectomy. However, which study is superior to another is unclear. The purpose of the present study was, therefore, to assess the benefits and risks of ECMO use in pregnant patients with pulmonary embolism and to endeavor to produce a new algorithm.
Authors and Affiliations
Sevilay Sema Ünver, Asım Kalkan, Ahmet Demirel, Neşe Kaya, Özlem Uzun
Keywords
Related Articles
- EP ID EP685231
- DOI 10.4274/eamr.galenos.2020.94830
- Views 91
- Downloads 0
Mean Platelet Volume in Myocardial and Neurological Injury Associated with Carbon Monoxide Poisoning
Objective: Carbon monoxide (CO) poisoning is one of the most commonly encountered causes of fatal intoxication worldwide. Mean platelet volume (MPV) elevation has been shown in several diseases associated with tissue hyp...
Prediction of Single Dose Methotrexate Success in Ectopic Pregnancy Treatment
Objective: To investigate the efficacy of single-dose methotrexate treatment and the factors affecting its success in the treatment of ectopic pregnancy. Methods: Ectopic pregnancy cases treated with single dose methotr...
Evaluation of Echocardiographic Findings of Mucopolysaccharidosis Cases
Objective: Mucopolysaccharidosis (MPS) is a lysosomal storage disease in which the degradation of glycosaminoglycans is impaired. Cardiac involvement may occur in different ways in all types of the disease. In this study...
Age-related Differences in Homocysteine and Serological Markers in Patients with Sudden Sensorineural Hearing Loss
Objective: Sudden hearing loss is mostly a unilateral sensorineural hypoacusis with the highest incidence in young adults. The aim of this study was to determine the differences in homocysteine and serological marker lev...
Effect of Epidermal Growth Factor on Osteosarcoma Cell Proliferation and Bcl-2 Gene Expression
Objective: The aim of this study was to investigate the effects of epidermal growth factor (EGF) on osteosarcoma cell proliferation and Bcl-2 expression. Methods: In this study, MTT test was first applied to determine t...