Extracorporeal membrane oxygenation-induced fibrinolysis detected by rotational thromboelastometry and treated by oxygenator exchange
| Autor: | Jan Berousek, Pavel Hedvicak, Miroslav Durila, Tomas Smetak |
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| Rok vydání: | 2019 |
| Předmět: |
Change over time
Adult Male medicine.medical_treatment 030204 cardiovascular system & hematology Oxygenators 03 medical and health sciences 0302 clinical medicine Extracorporeal Membrane Oxygenation Fibrinolysis Coagulopathy medicine Extracorporeal membrane oxygenation Humans Radiology Nuclear Medicine and imaging In patient Oxygenator Advanced and Specialized Nursing business.industry General Medicine medicine.disease Hyperfibrinolysis Thrombelastography Thromboelastometry 030228 respiratory system Anesthesia Cardiology and Cardiovascular Medicine business Safety Research |
| Zdroj: | Perfusion. 34(4) |
| ISSN: | 1477-111X |
| Popis: | Coagulopathy and bleeding is a frequent phenomenon in patients on extracorporeal membrane oxygenation. The cause may be multifactorial and it may change over time. We present a case when bleeding was caused by hyperfibrinolysis induced by oxygenator. The diagnosis was established by comparing thromboelastometry result from blood obtained before and after oxygenator. Hyperfibrinolysis and bleeding could be successfully treated merely by oxygenator exchange. |
| Databáze: | OpenAIRE |
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