Surgical Pulmonary Embolectomy With No Systemic Anticoagulation for Patient With Recent Stroke
| Autor: | Igor Gosev, Brian Ayers, Bryan Barrus, Milica Bjelic, Mark Marinescu, Scott J. Cameron, K. Wood |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors medicine.medical_treatment Embolectomy 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Pulmonary embolectomy medicine Extracorporeal membrane oxygenation Humans Stroke business.industry Anticoagulants medicine.disease Surgery Pulmonary embolism 030228 respiratory system Treatment strategy Systemic anticoagulation Pulmonary Embolism Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Ann Thorac Surg |
| ISSN: | 0003-4975 |
| Popis: | We present the successful use of surgical embolectomy (SE) without systemic anticoagulation to treat a complicated case of pulmonary embolism. The patient presented with an embolic cerebrovascular accident and subsequently developed a massive pulmonary embolism. Because of the risk of hemorrhagic transformation, the decision was made to proceed with emergent SE on venoarterial extracorporeal membrane oxygenation support without anticoagulation. The surgery was performed without complication. The potential to perform SE without anticoagulation could potentially decrease the incidence of surgical bleeding and make SE a therapeutic option for patients with contraindications to anticoagulation. Further research is needed to substantiate the efficacy of this treatment strategy. |
| Databáze: | OpenAIRE |
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