Journal article
Saddle Up: Anticoagulation for Extracorporeal Membrane Oxygenation in a Pulmonary Embolism and Ischemic Stroke-A Case Report
A & A case reports, Vol.14(10), pp.e01277-e01277
08/01/2020
DOI: 10.1213/XAA.0000000000001277
PMID: 32739983
Abstract
This case describes an anticoagulation strategy in a postpartum patient on venoarterial extracorporeal membrane oxygenation (VA ECMO) for a pulmonary embolism (PE) with a concurrent ischemic stroke. After receiving systemic lysis, the patient had impending cardiovascular collapse, right heart strain, worsening clinical picture, prompting VA ECMO cannulation and subsequent cautious management of the patient's anticoagulation. There have been no similar cases published describing an ECMO anticoagulation strategy and management for this complex clinical situation. By withholding a heparin bolus and delaying initiation of a heparin drip for 24 hours, thromboelastogram (TEG) R-time and partial thromboplastin time (PTT) could be closely monitored while the patient began to recover.
Details
- Title: Subtitle
- Saddle Up: Anticoagulation for Extracorporeal Membrane Oxygenation in a Pulmonary Embolism and Ischemic Stroke-A Case Report
- Creators
- Benjamin R. Rezny - From the Department of Anesthesia.Aaron Tyagi - From the Department of Anesthesia.Jennifer P. Crumley - University of IowaKristina A. Rappaport - University of Iowa Hospitals and ClinicsLovkesh Arora - From the Department of Anesthesia.
- Resource Type
- Journal article
- Publication Details
- A & A case reports, Vol.14(10), pp.e01277-e01277
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1213/XAA.0000000000001277
- PMID
- 32739983
- ISSN
- 2325-7237
- eISSN
- 2325-7237
- Number of pages
- 4
- Language
- English
- Date published
- 08/01/2020
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296142502771
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