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