Table 1.
Characteristics of patients treated with rescue systemic fibrinolysis.
| Patient | 1 | 2 | 3–1 | 3–2 | 4 | 5 |
| Age (years) | 67 | 41 | 63 | 63 | 55 | 46 |
| Sex | Male | Male | Male | Male | Male | Male |
| BMI (kg/m2) | 26.2 | 25.8 | 27.2 | 27.2 | 20.7 | 24.3 |
| SAPS II | 26 | 22 | 47 | 47 | 28 | 31 |
| Invasive MV | No | Yes | Yes | Yes | Yes | Yes |
| Number of PP sessions | 0 | 1 | 1 | 1 | 1 | 4 |
| PaO2/FiO2 ratio (mmHg) | 80 | 85 | 80 | 91 | 94 | 62 |
| PaCO2 (mmHg) | 36 | 56 | 76 | 46 | 53 | 53 |
| Respiratory system compliance (ml/cmH2O) | NA | 33 | 30 | 16 | 17 | 10 |
| Driving pressure (cmH2O) | NA | 12 | 15 | 25 | 23 | 16 |
| NE dose (μg/kg/min) | 2.94 | 0.22 | 1.06 | 2.05 | 0.25 | 3.46 |
| VV-ECMO | No | No | No | No | No | Yes |
| Antithrombotic regimen | Curative LMWH | Preventive LMWH | Curative LMWH | Curative UFH | Curative LMWH | Curative UFH |
| D-Dimer (ng/ml) | 2281 | NA | 4208 | 4208 | 7794 | 9943 |
| PR (%) | 64 | 67 | 77 | 71 | 70 | 80 |
| Platelet count (Giga/l) | 355 | 194 | 391 | 403 | 199 | 176 |
| Fibrinogen (g/l) | 7.7 | 8.4 | 7.0 | 6.4 | 6.5 | 4.8 |
| Reason for fibrinolysis | CA | CA | Shock | Shock | Shock | Shock |
| Imaging | ACP | ACP + CFV thrombosis | ACP | ACP | ACP | ACP |
| Complications | – | – | – | – | Femoral hemorrhage: 8 RBC transfused | Jugular + femoral hemorrhage: 3 RBC transfused |
| Immediate effect | No ROSC | No ROSC | 60% NE decrease in 1 h | Persistent shock | Persistent shock | 80% NE decrease in 3 h |
| Vital status | Death | Death | Death 3 days later | Death 2 days later | Death 3 days later | Alive at 7 days |
All clinical characteristics are reported before initiation of rescue therapy.
Abbreviations: ACP: acute cor pulmonale, BMI: body mass index, CA: cardiac arrest, CFV: common femoral vein, h: hour, LMWH: low molecular weight heparin, MV: mechanical ventilation, NA: not applied, NE: norepinephrine, PC: platelet concentrate, PE: pulmonary embolism, PP: prone position, PR: prothrombin ratio, RBC: red blood cell, ROSC: return of spontaneous circulation, SAPS II: simplified acute physiology score II, UFH: unfractioned heparin, VV-ECMO: veno-venous extracorporeal membrane oxygenation.