title: Successful Management of Cardiac Arrest Due to Pulmonary Embolus Using Extracorporeal Membrane Oxygenation and Ultrasound-Accelerated Catheter-Directed Thrombolysis.
abstract: Here we present the case of a patient that suffered a cardiac arrest due to pulmonary embolus. The patient was resuscitated using extracorporeal membrane oxygenation and treated with ultrasound-accelerated catheter-directed thrombolysis during support on extracorporeal membrane oxygenation, with an excellent outcome. This case demonstrates that the use of extracorporeal membrane oxygenation and ultrasound-accelerated catheter-directed thrombolysis can be highly effective for managing select patients with pulmonary embolus and cardiac arrest.
authors.affiliation: Department of Surgery, WellSpan Health, York, Pennsylvania.
authors.forename: Vikas
authors.initials: V
authors.lastname: Sharma
authors.affiliation: Department of Radiology and Radiation Oncology, WellSpan Health, York, Pennsylvania.
authors.forename: Howard D
authors.initials: HD
authors.lastname: Goldberg
authors.affiliation: Division of Pulmonary Medicine, WellSpan Health, York, Pennsylvania.
authors.forename: Dmitriy
authors.initials: D
authors.lastname: Zubkus
authors.affiliation: Division of Cardiovascular Surgery, WellSpan Health, York, Pennsylvania.
authors.forename: Larry L
authors.initials: LL
authors.lastname: Shears
authors.affiliation: Division of Cardiovascular Surgery, WellSpan Health, York, Pennsylvania. Electronic address: dkaczorowski@wellspan.org.
authors.forename: David J
authors.initials: DJ
authors.lastname: Kaczorowski
mesh_terms: D000792:Angiography; D000925:Anticoagulants / Q000008:administration & dosage; D002406:Catheterization, Peripheral / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005263:Femoral Artery; D005268:Femoral Vein; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D015912:Thrombolytic Therapy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D016278:Ventricular Function, Right / Q000502:physiology
chemical_list: D000925:Anticoagulants; D006493:Heparin