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Method Five female patients (age 23, 37, 58, 70 and 76, mean 52.8) were diagnosed as massive pulmonary embolism with either acute irreversible pulmonary failure or cardiac collapse (2 CPR) by Chest CT or pulmonary angiography. All patients required ECMO support in addition to 2 endovascular Angiojet aspiration or 1 surgical pulmonary thromboembolectomy. The duration for ECMO survivors were 1, 2 and 7 days, respectively. All patients required anticoagulation (3 heparin, 2 r-TPA, 3 Coumadin and 1 urokinase) to resolve the residual emboli.

Acute fulminating massive pulmonary embolism treated with aggressive endovascular or surgical approach And ECMO