College of Medicine, University of Kentucky, Lexington, 800 Rose Street, MN264, Lexington, KY 40536-0298, USA.
Division of Cardiothoracic Surgery, Kentucky Clinic, UK Health Care, 740 South Limestone A-301, Lexington, KY 40536, USA.
Crit Care Clin. 2020 Jul;36(3):517-529. doi: 10.1016/j.ccc.2020.02.007. Epub 2020 May 12.
Acute high-risk pulmonary embolism (PE) is characterized by life-threatening hemodynamic instability that may lead to refractory cardiac arrest. Recently, extracorporeal membrane oxygenation (ECMO) has been used to provide primary cardiopulmonary support for select high-risk PE patients or before surgical embolectomy. This article reviews the growing body of literature regarding ECMO support of acute high-risk PE.
急性高危肺栓塞(PE)的特征是危及生命的血流动力学不稳定,可能导致难治性心脏骤停。最近,体外膜氧合(ECMO)已被用于为选择的高危 PE 患者或在外科取栓术之前提供主要心肺支持。本文综述了关于 ECMO 支持急性高危 PE 的不断增加的文献。