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Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report

A 64-year-old male patient was admitted to the catheterization laboratory with a suspected myocardial infarction and in cardiogenic shock. Upon further investigation, a massive bilateral pulmonary embolism with signs of right heart dysfunction was discovered, leading to a decision to perform a direc...

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Autores principales: Haertel, Franz, Baez, Laura, Franz, Marcus, Bogoviku, Jurgen, Klein, Friederike, Dannberg, Gudrun, Schulze, P. Christian, Möbius-Winkler, Sven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137046/
https://www.ncbi.nlm.nih.gov/pubmed/37189493
http://dx.doi.org/10.3390/diagnostics13081392
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author Haertel, Franz
Baez, Laura
Franz, Marcus
Bogoviku, Jurgen
Klein, Friederike
Dannberg, Gudrun
Schulze, P. Christian
Möbius-Winkler, Sven
author_facet Haertel, Franz
Baez, Laura
Franz, Marcus
Bogoviku, Jurgen
Klein, Friederike
Dannberg, Gudrun
Schulze, P. Christian
Möbius-Winkler, Sven
author_sort Haertel, Franz
collection PubMed
description A 64-year-old male patient was admitted to the catheterization laboratory with a suspected myocardial infarction and in cardiogenic shock. Upon further investigation, a massive bilateral pulmonary embolism with signs of right heart dysfunction was discovered, leading to a decision to perform a direct interventional treatment with a thrombectomy device for thrombus aspiration. The procedure was successful in removing almost the entirety of the thrombotic material from the pulmonary arteries. The patient’s hemodynamics stabilized and oxygenation improved instantly. The procedure required a total of 18 aspiration cycles. Each aspiration contained approx. 60 mL blood amounting to a total of approx. 1080 mL of blood. During the procedure, a mechanical blood salvage system was used to resupply 50% of the blood via autotransfusion that would otherwise have been lost. The patient was transferred to the intensive care unit for post-interventional care and monitoring. A CT angiography of the pulmonary arteries after the procedure confirmed the presence of only minor residual thrombotic material. The patient’s clinical, ECG, echocardiographic, and laboratory parameters returned to normal or near normal ranges. The patient was discharged shortly after in stable conditions on oral anticoagulation.
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spelling pubmed-101370462023-04-28 Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report Haertel, Franz Baez, Laura Franz, Marcus Bogoviku, Jurgen Klein, Friederike Dannberg, Gudrun Schulze, P. Christian Möbius-Winkler, Sven Diagnostics (Basel) Case Report A 64-year-old male patient was admitted to the catheterization laboratory with a suspected myocardial infarction and in cardiogenic shock. Upon further investigation, a massive bilateral pulmonary embolism with signs of right heart dysfunction was discovered, leading to a decision to perform a direct interventional treatment with a thrombectomy device for thrombus aspiration. The procedure was successful in removing almost the entirety of the thrombotic material from the pulmonary arteries. The patient’s hemodynamics stabilized and oxygenation improved instantly. The procedure required a total of 18 aspiration cycles. Each aspiration contained approx. 60 mL blood amounting to a total of approx. 1080 mL of blood. During the procedure, a mechanical blood salvage system was used to resupply 50% of the blood via autotransfusion that would otherwise have been lost. The patient was transferred to the intensive care unit for post-interventional care and monitoring. A CT angiography of the pulmonary arteries after the procedure confirmed the presence of only minor residual thrombotic material. The patient’s clinical, ECG, echocardiographic, and laboratory parameters returned to normal or near normal ranges. The patient was discharged shortly after in stable conditions on oral anticoagulation. MDPI 2023-04-11 /pmc/articles/PMC10137046/ /pubmed/37189493 http://dx.doi.org/10.3390/diagnostics13081392 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Haertel, Franz
Baez, Laura
Franz, Marcus
Bogoviku, Jurgen
Klein, Friederike
Dannberg, Gudrun
Schulze, P. Christian
Möbius-Winkler, Sven
Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report
title Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report
title_full Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report
title_fullStr Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report
title_full_unstemmed Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report
title_short Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report
title_sort use of autotransfusion following percutaneous thrombectomy for cardiogenic shock due to pulmonary embolism in a single session—a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137046/
https://www.ncbi.nlm.nih.gov/pubmed/37189493
http://dx.doi.org/10.3390/diagnostics13081392
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