Table 5.
Clinical outcomes and complications of patients with acute massive or submassive pulmonary embolism treated with VA-ECMO with or without AngioJet rheolytic thrombectomy.
| Outcomes and complications | VA-ECMO only (n = 4) | VA-ECMO plus AngioJet (n = 5) |
|---|---|---|
| Clinical success | 4 | 4 |
| Technical success | 4 | 5 |
| ECMO duration, days | 8 (2–14) | 4 (2–11) |
| PMT procedure duration, minutes | – | 58 (45–83) |
| PE-related death | 0 | 1 |
| IVC filter placement | 1 | 1 |
| In-hospital and 90-day survival | 4 | 4 |
| Hospital length of stay, days | 15 (5–24) | 13 (8–17) |
| ECMO and ICU complications (n = 9) | ||
| AKI | 0 | 2 |
| AKI requiring RRT | 0 | 1 |
| Stroke | 0 | 1 |
| Hemorrhage requiring transfusion | 0 | 1 |
| Vascular injury | 0 | 0 |
| Percutaneous mechanical thrombectomy (n = 5) | ||
| Hemolysis | – | 5 |
| Suspected perforation | – | 0 |
| Bradycardia | – | 5 |
| Asystole | – | 2 |
| Thrombocytopenia | – | 0 |
Values are numbers or median (range).
ECMO, extracorporeal membrane oxygenation; PMT, percutaneous mechanical thrombectomy; PE, pulmonary embolism; IVC, inferior vena cava; ICU, intensive care unit; AKI, acute kidney injury; RRT, renal replacement therapy; CT, computed tomography.