DiscoverEDECMO Podcast83: Taking ECMO in Pulmonary Embolism to the Next Level
83: Taking ECMO in Pulmonary Embolism to the Next Level

83: Taking ECMO in Pulmonary Embolism to the Next Level

Update: 2023-05-29
Share

Description





In this episode Jon Marinaro joins the ED ECMO team and interviews his colleague Sundeep Guliani, MD about the use of an ECMO first strategy for Massive Pulmonary Embolism. Jon and Sundeep review the data and processes from their institution and from other institutions in the United States.  Could it be that ECLS could move the survival needle on this high mortality disease? Listen and find out!



Hobohm L, Sagoschen I, Habertheuer A, Barco S, Valerio L, Wild J, Schmidt FP,

Gori T, Münzel T, Konstantinides S, Keller K. Clinical use and outcome of

extracorporeal membrane oxygenation in patients with pulmonary embolism.

Resuscitation. 2022 Jan;170:28 5-292. doi: 10.1016/j.resuscitation.2021.10.007.

Epub 2021 Oct 12. PMID: 34653550.



Shinar Z, Hutin A. Pulmonary ECMO-ism: Let's add PEA to ECPR indications.

Resuscitation. 2022 Jan;170:29 3-294. doi: 10.1016/j.resuscitation.2021.11.004.

Epub 2021 Nov 10. PMID: 34774708.



Pudil J, Rob D, Smalcova J, Smid O, Huptych M, Vesela M, Kovarnik T,

Belohlavek J. Pulmonary embolism related refractory out-of-hospital cardiac

arrest and extracorporeal cardiopulmonary resuscitation: Prague OHCA study post-

hoc analysis. Eur Heart J Acute Cardiovasc Care. 2023 May 12:zuad052. doi:

10.1093/ehjacc/zuad052. Epub ahead of print. PMID: 37172033.



Karami M, Mandigers L, Miranda DDR, Rietdijk WJR, Binnekade JM, Knijn DCM,

Lagrand WK, den Uil CA, Henriques JPS, Vlaar APJ; DUTCH ECLS Study Group.

Survival of patients with acute pulmonary embolism treated with venoarterial

extracorporeal membrane oxygenation: A systematic review and meta-analysis. J

Crit Care. 2021 Aug;64:24 5-254. doi: 10.1016/j.jcrc.2021.03.006. Epub 2021 Mar

24. PMID: 34049258.
Comments 
loading
00:00
00:00
1.0x

0.5x

0.8x

1.0x

1.25x

1.5x

2.0x

3.0x

Sleep Timer

Off

End of Episode

5 Minutes

10 Minutes

15 Minutes

30 Minutes

45 Minutes

60 Minutes

120 Minutes

83: Taking ECMO in Pulmonary Embolism to the Next Level

83: Taking ECMO in Pulmonary Embolism to the Next Level

Zack Shinar, MD