Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report
Abstract
1. Introduction
2. Case Report
3. Discussion
4. Autotransfusion Procedure
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Preinterventional | Immediately after the Procedure | At Discharge 6 Days after the Procedure | |
---|---|---|---|
Clinical data | |||
Dyspnea [NYHA] | IV | II–III | 0 |
Arterial blood pressure [systolic/diastolic/mean, mmHg] | 73/44/70 | 103/70/84 | 122/61/81 |
Heart rate [beats/minute] | 100 | 81 | 64 |
SpO2 [%] | 90 | 95 | 97 |
Oxygen supplementation [liters/minute] | 10 | 3 | 0 |
Respiratory rate [breaths/minute] | 29 | 16 | 12–14 |
Echocardiographic data | |||
RVEDD [mm] | 65 | 49 | 37 |
TAPSE [mm] | 12 | 16 | 21 |
TASV [cm/s] | 8 | 12 | 17 |
sPAP [mmHg] | 55 | 15 | 14 |
LVEF [%] | 43 | 54 | 56 |
D- Sign | Yes | No | No |
McConnell‘s sign | Yes | Yes | No |
Systolic notching of PWD over pulmonary valve | Yes | Slightly | No |
PAC hemodynamics | |||
PAP [systolic/diastolic/mean, mmHg] | 44/23/29 | 25/10/16 | Not available |
Laboratory data | |||
D-Dimer [µg/L] | 41,531 | Not available | Not available |
Troponin [pg/mL] | 75.20 | 505 | 21.8 |
Myoglobin [µg/L] | 80 | 36 | Not available |
NT-Pro-BNP [pg/mL] | 207 | 1062 | <50 |
Arterial lactate [mmol/L] | 3.5 | 1.5 | Not available |
Hb [mmol/l] | 10 | 8.2 | 9.7 |
Thrombocytes [Gpt/l] | 175 | 142 | 315 |
Hematocrit [%] | 47 | 38 | 42 |
Therapy data | |||
Noradrenalin [µg/kg/min] | 0.47 | 0 | 0 |
Dobutamine [µg/kg/min] | 8.3 | 0 | 0 |
Unfractionated intravenous heparin | Yes | Yes | No |
NOAC | No | No | Yes (Apixaban) |
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Share and Cite
Haertel, F.; Baez, L.; Franz, M.; Bogoviku, J.; Klein, F.; Dannberg, G.; Schulze, P.C.; Möbius-Winkler, S. Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report. Diagnostics 2023, 13, 1392. https://doi.org/10.3390/diagnostics13081392
Haertel F, Baez L, Franz M, Bogoviku J, Klein F, Dannberg G, Schulze PC, Möbius-Winkler S. Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report. Diagnostics. 2023; 13(8):1392. https://doi.org/10.3390/diagnostics13081392
Chicago/Turabian StyleHaertel, Franz, Laura Baez, Marcus Franz, Jurgen Bogoviku, Friederike Klein, Gudrun Dannberg, P. Christian Schulze, and Sven Möbius-Winkler. 2023. "Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report" Diagnostics 13, no. 8: 1392. https://doi.org/10.3390/diagnostics13081392
APA StyleHaertel, F., Baez, L., Franz, M., Bogoviku, J., Klein, F., Dannberg, G., Schulze, P. C., & Möbius-Winkler, S. (2023). Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session—A Case Report. Diagnostics, 13(8), 1392. https://doi.org/10.3390/diagnostics13081392