1496: MASSIVE PULMONARY EMBOLISM PRESENTING AS COMPLETE HEART BLOCK UNDER MONITORED ANESTHESIA CARE

Zusammenfassung. Ein Grossteil der opthalmologischen Eingriffe kann heute in Lokoregionalanästhesie mit «Monitored Anesthesia Care» (MAC) durchgeführt werden. Allgemeinanästhesieverfahren sind hauptsächlich im pädiatrischen Segment, bei spezifischer Comorbidität und bei langdauernden Eingriffen mit völlig ruhiggestelltem OP-Gebiet notwendig. Kataraktoperationen bei mehrheitlich geriatrischen Patienten gehören aufgrund Ihrer Häufigkeit zur sogenannten «Hochvolumen-Chirurgie»: In Anbetracht des niedrigen perioperativen Risikos bei dieser Patientengruppe sind angepasste, optimierte Prozesse sinnvoll. Eine fokussierte Prämedikation und Information dieser Patienten gewährleistet eine gute perioperative Compliance. Präoperative Untersuchungen sollen bei dieser Patientengruppe nur in Abhängigkeit von relevanter Comorbidität durchgeführt werden. Neben der klassischen Anästhesiesprechstunde stehen heute für gesundheitlich kompensierte Patienten auch neue Verfahren wie eine internetbasierte Prämedikationsvisite zur Verfügung. Das intraoperative Anästhesieverfahren hängt von den Erfordernissen des Chirurgen und den Erwartungen und Kooperationsmöglichkeiten des Patienten ab.

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COVID-19 complicated by pulmonary embolism treated with catheter directed thrombectomy

VASA ◽

10.1024/0301-1526/a000880 ◽

2020 ◽

Vol 49 (4) ◽

pp. 333-337 ◽

Cited By ~ 3

Author(s):

Francisco Leonardo Galastri ◽

Leonardo Guedes Moreira Valle ◽

Breno Boueri Affonso ◽

Marcela Juliano Silva ◽

Rodrigo Gobbo Garcia ◽

...

Keyword(s):

Pulmonary Embolism ◽

High Risk ◽

Dynamic Process ◽

Therapeutic Option ◽

Massive Pulmonary Embolism ◽

Percutaneous Intervention ◽

Thromboembolic Events ◽

Emergency Center ◽

Catheter Directed Thrombolysis

Summary: COVID-19 is a recently identified illness that is associated with thromboembolic events. We report a case of pulmonary embolism in a patient with COVID-19, treated by catheter directed thrombectomy. A 57 year old patient presented to the emergency center with severe COVID-19 symptoms and developed massive pulmonary embolism. The patient was treated with catheter directed thrombolysis (CDT) and recovered completely. Coagulopathy associated with COVID-19 is present in all severe cases and is a dynamic process. We describe a case of massive/high risk pulmonary embolism, in a patient with COVID-19 receiving full anticoagulation, who was treated by percutaneous intervention. CDT can be an additional therapeutic option in patients with COVID-19 and pulmonary embolism that present with rapid clinical collapse.

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Endovascular repair of a spontaneous ilio-iliac fistula presenting as pulmonary embolism

VASA ◽

10.1024/0301-1526/a000100 ◽

2011 ◽

Vol 40 (3) ◽

pp. 246-250 ◽

Cited By ~ 4

Author(s):

Melas ◽

Saratzis ◽

Abbas ◽

Sarris ◽

Saratzis ◽

...

Keyword(s):

Pulmonary Embolism ◽

Endovascular Repair ◽

Therapeutic Option ◽

Artery Aneurysm ◽

Iliac Vein ◽

Massive Pulmonary Embolism ◽

Long Term Results ◽

Common Iliac Vein ◽

Iliac Artery Aneurysm ◽

Common Iliac Artery Aneurysm

Spontaneous rupture of a common iliac artery aneurysm into the common iliac vein is a rare phenomenon. We report the case of a 68 year old man admitted with acute cardiac failure and massive pulmonary embolism as a complication of a spontaneous ilio-iliac fistula, secondary to aneurysmal rupture. The aneurysm was successfully excluded using an aorto-uni-iliac stent graft. No complications were noted at 9 months follow-up. Arteriovenous fistulae should be considered in patients with aortic or iliac aneurysms who develop a pulmonary embolism or symptoms of venous congestion. Endovascular repair of these pathologies is a feasible therapeutic option; however long term results remain unknown.

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