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斯坦福 A 型主动脉夹层由静脉-动脉体外膜肺氧合引起。

Stanford Type A Aortic Dissection caused by veno-arterial extracorporeal membrane oxygenation.

机构信息

Department of Emergency and Critical Care Center, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan; Department of Emergency Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan.

Department of Emergency and Critical Care Center, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan.

出版信息

Am J Emerg Med. 2021 Nov;49:438.e1-438.e3. doi: 10.1016/j.ajem.2021.04.046. Epub 2021 Apr 18.

Abstract

Extracorporeal cardiopulmonary resuscitation (E-CPR) has attracted interest in the area of resuscitation, with its utilization in refractory cardiac arrest having recently increased. However, E-CPR has a high complication rate of approximately 30% and life-threatening complications can occur. We present a case who experienced an acute aortic dissection caused by veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Specifically, the aortic dissection was caused by an adjustment in the position of return cannula.

摘要

体外心肺复苏(E-CPR)在复苏领域引起了关注,其在难治性心脏骤停中的应用最近有所增加。然而,E-CPR 的并发症发生率约为 30%,并且可能发生危及生命的并发症。我们报告了一例因静脉-动脉体外膜肺氧合(VA-ECMO)而导致的急性主动脉夹层的病例。具体来说,主动脉夹层是由于回输插管位置的调整而引起的。

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