Case Sharing: A Case of EVT for Salvage of ALI after VA-ECMO Introduction from Limited Puncture Site

Case Sharing: A Case of EVT for Salvage of ALI after VA-ECMO Introduction from Limited Puncture Site
Dr. Yoshiya Kato, Cardiovascular medicine, Kushiro City General Hospital

Case

Male in his 70s

Symptoms

Out-of-hospital cardiopulmonary arrest

Current medical history

  • A patient was under outpatient follow-up for ischemic cardiomyopathy.
  • On a certain day in X year, the patient had faint without any trigger. He was called to the emergency services as he was unresponsive to his wife's calls. When the emergency services were contacted, the ECG waveform was ventricular fibrillation, and the AED was activated but did not stop.
  • The patient had persistent ventricular fibrillation after arrival at the emergency department of the hospital, so a PCPS call was made to the department on request.

Medical history

Hypertension, Dyslipidemia, Peripheral artery disease, after percutaneous peripheral angioplasty
VA-ECMO, IABP, CAG etc. An IABP was inserted from the right inguinal region while a PCPS was insert...
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