The use of hemodynamic support in massive pulmonary embolism

Catheter Cardiovasc Interv. 2017 Sep 1;90(3):516-520. doi: 10.1002/ccd.26872. Epub 2017 Jan 19.

Abstract

Massive pulmonary embolism is life threatening and can present as cardiogenic shock and cardiac arrest. We report a case of a 47-year-old male who arrested during his postoperative hospitalization and was found to have a massive pulmonary embolism with bilateral involvement of the pulmonary arteries. Given his profound shock and right ventricular failure, an Impella RP was used to stabilize his acute right ventricular failure while percutaneous embolectomy and thrombolysis was used to treat the pulmonary embolism. The patient underwent the procedure successfully with reduction in vasopressors and thrombus burden and recovery of right ventricular function. © 2017 Wiley Periodicals, Inc.

Keywords: Impella; cardiogenic shock; pulmonary embolism.

Publication types

  • Case Reports

MeSH terms

  • Computed Tomography Angiography
  • Embolectomy
  • Heart Arrest / diagnosis
  • Heart Arrest / etiology
  • Heart Arrest / physiopathology
  • Heart Arrest / therapy*
  • Heart-Assist Devices*
  • Hemodynamics*
  • Humans
  • Male
  • Middle Aged
  • Perfusion Imaging / methods
  • Prosthesis Design
  • Pulmonary Embolism / complications
  • Pulmonary Embolism / diagnosis
  • Pulmonary Embolism / physiopathology
  • Pulmonary Embolism / therapy*
  • Recovery of Function
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy*
  • Thrombolytic Therapy
  • Treatment Outcome
  • Ventricular Dysfunction, Right / diagnosis
  • Ventricular Dysfunction, Right / etiology
  • Ventricular Dysfunction, Right / physiopathology
  • Ventricular Dysfunction, Right / therapy*
  • Ventricular Function, Right*