Extracorporeal membrane oxygenation combined with catheter-directed urokinase thrombolysis can be a successful life-saving strategy for peripartum massive pulmonary embolism.
May support ECMO plus catheter-directed urokinase as rescue in peripartum massive PE; hypothesis-generating case report requiring prospective validation.
Chronic thromboembolic pulmonary hypertension during pregnancy is uncommon but is associated with maternal mortality in excess of 35%. We report a case of decompensated thromboembolic pulmonary hypertension requiring emergency caesarean section and postpartum treatment with extracorporeal membrane oxygenation and thrombolytic therapy with urokinase. The use of extracorporeal membrane oxygenation, catheter-directed pulmonary thrombolytic therapy and other pulmonary vasodilators for management of this life-threatening disease is discussed.
No takes yet. Share an insight, caveat, or question.
Weinberg et al. (2011) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: