Thrombolysis with recombinant tissue plasminogen activator during cardiopulmonary resuscitation in fulminant pulmonary embolism. A case series.

Abstract:

OBJECTIVE:To describe our outcomes using thrombolysis during the cardiopulmonary resuscitation (CPR) of patients in cardiorespiratory arrest (CA) caused by fulminant pulmonary embolism (FPE). DESIGN:A case series. SETTING:Intensive care units of a district hospital and a referral centre. PATIENTS:Six patients that suffered CA secondary to an FPE. INTERVENTIONS:Administration of recombinant tissue plasminogen activator during usual CPR manoeuvres when there was a strong suspicion of FPE. Permission for the thrombolytic therapy was sought from family members in all cases. RESULTS:Four out of the six patients survived and remain symptom-free. The thrombolysis was not associated with any fatal complications. CONCLUSIONS:Early thrombolysis during CPR manoeuvres for CA apparently caused by an FPE may reduce the mortality rate among these patients.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Ruiz-Bailén M,Aguayo-de-Hoyos E,Serrano-Córcoles MC,Díaz-Castellanos MA,Fierro-Rosón JL,Ramos-Cuadra JA,Rodríguez-Elvira M,Torres-Ruiz JM

doi

10.1016/s0300-9572(01)00384-7

keywords:

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

97-101

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300957201003847

journal_volume

51

pub_type

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