Emergency veno-arterial extracorporeal membrane oxygenation cannulation through the femoral vein with a pre-positioned inferior vena cava filter: A case report.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Fei Gao, Shan Ma, Xuan Xiao, Huai Yang, Ming-Jiang Qian
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引用次数: 0

Abstract

Background: Acute pulmonary thromboembolism is a complication of venous thrombosis. Extracorporeal membrane oxygenation (ECMO), an effective rescue measure for rapid hemodynamic recovery, can be used in patients for whom thrombolysis therapy has failed.

Case summary: This case report describes an extreme rescue process for a patient with a preset inferior vena cava (IVC) filter in a relatively economically underdeveloped area with an insufficient supply of consumables. In an emergency, veno-arterial ECMO was successfully initiated by intubation through the IVC filter to the right atrial opening without displacement of the filter during the entire process.

Conclusion: This study demonstrates that in resource-limited settings, femoral vein cannulation for veno-arterial ECMO is a feasible and safe option for patients with pre-implanted IVC filters.

预置下腔静脉过滤器经股静脉急诊静脉-动脉体外膜氧合插管1例。
背景:急性肺血栓栓塞是静脉血栓形成的并发症。体外膜氧合(Extracorporeal membrane oxygenation, ECMO)是一种快速血流动力学恢复的有效抢救措施,可用于溶栓治疗失败的患者。病例总结:本病例报告描述了在一个经济相对欠发达地区,消耗品供应不足的情况下,对一个预置下腔静脉(IVC)过滤器患者的极端抢救过程。在紧急情况下,静脉-动脉ECMO通过IVC滤器插管至右心房,整个过程中滤器未移位,成功启动。结论:本研究表明,在资源有限的情况下,对于预植入IVC过滤器的患者,股静脉插管是一种可行且安全的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
自引率
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发文量
3384
期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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