title: [Venoarterial extracorporeal membrane oxygenation in an awake patient : Use of the mobile ECMO team for fulminant pulmonary embolism].
abstract: The current report highlights the use of venoarterial extracorporeal membrane oxygenation (va-ECMO) in a case of pulmonary embolism complicated by right ventricular failure. A 38-year-old woman was admitted to a secondary care hospital with dyspnea and systemic hypotension. Diagnostic testing revealed a massive pulmonary embolism. Thrombolytic therapy was unsuccessful necessitating thromboendarterectomy in the presence of cardiogenic shock. To allow the necessary transport of the highly unstable patient to a tertiary care center a mobile ECMO team was called in. The team immediately initiated awake va-ECMO as a bridge to therapy. Extracorporeal support subsequently allowed a safe transportation and successful completion of the surgical procedure with complete recovery.
authors.affiliation: Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Keller
authors.forename: C
authors.initials: C
authors.lastname: Lotz
authors.forename: M
authors.initials: M
authors.lastname: Kippnich
authors.forename: P
authors.initials: P
authors.lastname: Adami
authors.forename: P
authors.initials: P
authors.lastname: Kranke
authors.forename: N
authors.initials: N
authors.lastname: Roewer
authors.forename: M
authors.initials: M
authors.lastname: Kredel
authors.forename: C
authors.initials: C
authors.lastname: Schimmer
authors.forename: R
authors.initials: R
authors.lastname: Leyh
authors.forename: R M
authors.initials: RM
authors.lastname: Muellenbach
mesh_terms: D000328:Adult; D004417:Dyspnea / Q000628:therapy; D004691:Endarterectomy; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007022:Hypotension / Q000628:therapy; D008952:Mobile Health Units; D010360:Patient Transfer; D011300:Preoperative Care; D011655:Pulmonary Embolism / Q000601:surgery / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000188:drug therapy; D015912:Thrombolytic Therapy