title: Echocardiography guided therapy for massive intra-operative pulmonary emboli during arterio-venous fistula/graft thrombectomy.
abstract: Various techniques' are currently employed for thrombectomies of the arterio-venous (AV) fistula/graft to restore flow. Sub massive or massive pulmonary emboli's have been reported following such procedures both intra-operatively and post-operatively. The hemodynamic responses depend not only on the size of the emboli's but also on the pre existing cardiac or pulmonary reserve of the patient. Rapid intra-operative echocardiography by anesthesiologist not only will help the clinicians with diagnosis but also can guide treatment plan as well as prognosis.
authors.affiliation: Division of Critical Care, VA Medical Center, Rm 203C, 3495 Bailey Ave, Buffalo, NY 14215, USA. jahanpor@buffalo.edu
authors.forename: Jahan
authors.initials: J
authors.lastname: Porhomayon
authors.forename: Nader D
authors.initials: ND
authors.lastname: Nader
mesh_terms: D001164:Arteriovenous Fistula / Q000601:surgery*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D017131:Thrombectomy / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000379:methods*