J Korean Soc Emerg Med.  2002 Mar;13(1):90-93.

The Cardiopulmonary Resuscitation in the Massive Pulmonary Thromboemolism: The Use of t-PA in 2 Cases

Affiliations
  • 1Department of Emergency Medicine, College of Medicine, Kangwon National University, Chuncheon, Korea. cjhemd@kangwon.ac.kr
  • 2Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Abstract

The massive pulmonary thromboembolism is serious illness that can lead to death within an hour after its occurrence. The incidence of cardiac arrest caused by massive pulmonary thromboembolism has been known as about 7%. Invasive therapeutic modalities to treat massive pulmonary thromboembolism during cardiac arrest including thoracotomy or cardiopulmonary bypass have been shown little effect. Administration of a thrombolytic agent is an alternative choice of treating massive pulmonary thromboembolism during cardiac arrest. This report describes our experience of cases with massive pulmonary thromboembolism that were treated with administration of a thrombolytic agent during CPR.

Keyword

Pulmonary thromboembolism; Cardiac arrest; Thrombolysis

MeSH Terms

Cardiopulmonary Bypass
Cardiopulmonary Resuscitation*
Heart Arrest
Incidence
Pulmonary Embolism
Thoracotomy
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