PMID- 36518179
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221221
IS  - 2052-8817 (Electronic)
IS  - 2052-8817 (Linking)
VI  - 9
IP  - 1
DP  - 2022 Jan-Dec
TI  - Pump-controlled retrograde trial off for weaning from venoarterial extracorporeal 
      membrane oxygenation in an adult patient with pulmonary embolism.
PG  - e809
LID - 10.1002/ams2.809 [doi]
LID - e809
AB  - BACKGROUND: Although pump-controlled retrograde trial off (PCRTO) is a practical 
      method for weaning from venoarterial extracorporeal membrane oxygenation 
      (VA-ECMO), its advantages and safety for patients with pulmonary embolism are not 
      yet reported. CASE PRESENTATION: A 62-year-old man with coronavirus disease 2019 
      experienced sudden cardiac arrest, and VA-ECMO was introduced. After confirming a 
      massive acute pulmonary embolism, unfractionated heparin treatment was initiated. 
      On day 6, the patient was confirmed stable with a flow rate of 1.0 L/min. 
      However, decannulation led to cardiac arrest and reintroduction of VA-ECMO. After 
      further treatment, a residual thrombus was observed, and pulmonary arterial 
      pressure remained high. On day 23, ECMO was decannulated successfully after a 
      weaning test with PCRTO, which simulated ECMO withdrawal by generating a partial 
      arteriovenous shunt. CONCLUSION: PCRTO is a feasible weaning strategy and can be 
      considered for patients with uncertain cardiorespiratory recovery.
CI  - (c) 2022 The Authors. Acute Medicine & Surgery published by John Wiley & Sons 
      Australia, Ltd on behalf of Japanese Association for Acute Medicine.
FAU - Matsumura, Kazuki
AU  - Matsumura K
AUID- ORCID: 0000-0001-9367-1636
AD  - Department of Emergency and Critical Care Medicine, ECMO Center Tokyo 
      Metropolitan Tama Medical Center Fuchu Tokyo Japan.
AD  - Department of Emergency and Critical Care Medicine Keio University School of 
      Medicine Shinjuku Tokyo Japan.
FAU - Matsuyoshi, Takeo
AU  - Matsuyoshi T
AUID- ORCID: 0000-0003-0597-5061
AD  - Department of Emergency and Critical Care Medicine, ECMO Center Tokyo 
      Metropolitan Tama Medical Center Fuchu Tokyo Japan.
FAU - Horikoshi, Yuichi
AU  - Horikoshi Y
AUID- ORCID: 0000-0002-6591-6461
AD  - Department of Emergency and Critical Care Medicine, ECMO Center Tokyo 
      Metropolitan Tama Medical Center Fuchu Tokyo Japan.
FAU - Sasaki, Junichi
AU  - Sasaki J
AUID- ORCID: 0000-0002-5190-8524
AD  - Department of Emergency and Critical Care Medicine Keio University School of 
      Medicine Shinjuku Tokyo Japan.
FAU - Shimizu, Keiki
AU  - Shimizu K
AD  - Department of Emergency and Critical Care Medicine, ECMO Center Tokyo 
      Metropolitan Tama Medical Center Fuchu Tokyo Japan.
LA  - eng
PT  - Case Reports
DEP - 20221211
PL  - United States
TA  - Acute Med Surg
JT  - Acute medicine & surgery
JID - 101635464
PMC - PMC9741914
OTO - NOTNLM
OT  - COVID-19
OT  - extracorporeal membrane oxygenation
OT  - hemodynamics
OT  - pulmonary embolism
OT  - safety
EDAT- 2022/12/16 06:00
MHDA- 2022/12/16 06:01
PMCR- 2022/12/11
CRDT- 2022/12/15 02:15
PHST- 2022/07/07 00:00 [received]
PHST- 2022/11/17 00:00 [accepted]
PHST- 2022/12/15 02:15 [entrez]
PHST- 2022/12/16 06:00 [pubmed]
PHST- 2022/12/16 06:01 [medline]
PHST- 2022/12/11 00:00 [pmc-release]
AID - AMS2809 [pii]
AID - 10.1002/ams2.809 [doi]
PST - epublish
SO  - Acute Med Surg. 2022 Dec 11;9(1):e809. doi: 10.1002/ams2.809. eCollection 2022 
      Jan-Dec.