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Summary The Keys to Our Management Strategy - Mandatory multidisciplinary approach. - 24/7 availability. - Rapid and a precise diagnosis with an immediate transfer to the CTOR (resembling Rescue Therapy) (LIKE VAD/ECMO) - Execution of a precise care plan by - Perfusionist - Surgeon - Intensivist - Radiologist - Anesthesiologist - ICU staff - Results - 100% survival rate in the CTOR
Summary cont’d In a nonrandomized comparison of surgical and medical treatment in hemodynamically compromised patients with massive PE, the medical group had an increased mortality rate, increased number of hemorrhagic events and a higher incidence of recurrent PE. Gulba DC, Schmid C, Borst HG, Lichtlen P, Dietz R, Luft FC. Medical compared with Surgical Treatment for Massive Pulmonary Embolism. Lancet. 1994:343:576-577. Currently our practice uses only the “tepid” CPB approach when we treat Acute Massive Pulmonary Embolism.
Page 1 and 2: PHILADELPHIA, PENNSYLVANIA
Page 3 and 4: Recent National Incidents: February
Page 5 and 6: HISTORY 1872 - Dr. Trendelenburg st
Page 7 and 8: Background Information -“Pulmonar
Page 9 and 10: Pathophysiology PE is not a disease
Page 11 and 12: National Statistics There are appro
Page 13 and 14: National Statistics cont’d. Afric
Page 15 and 16: Definition A pulmonary embolus is d
Page 17 and 18: Definition cont’d. Medically, AMP
Page 19 and 20: TESTS USED TO CONFIRM PE: ∙Quanti
Page 21 and 22: TREATMENT OF PE: cont’d Second Li
Page 24 and 25: Vortex Medical Inc. AngioVac System
Page 26 and 27: Regular exercise Anticoagulant prop
Page 28 and 29: Pulmonary Angiogram
Page 31 and 32: Contrast CT showing Pulmonary Embol
Page 33 and 34: DHCA Technique (Group A) Cannulatio
Page 35 and 36: Normothermic (Tepid) Technique Cann
Page 37 and 38: Group A (Circ. Arrest) Group B (Nor
Page 48: Thank You Questions????

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