Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical intervention
Acute high-risk pulmonary embolism (PE) is defined as PE with either cardiac arrest, obstructive shock, or persistent hypotension at presentation. The incidence of venous thromboembolism (VTE) is lower following spine surgery compared to joint arthroplasty surgeries. The use of anticoagulants after...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Heart India |
| Subjects: | |
| Online Access: | http://www.heartindia.net/article.asp?issn=2321-449x;year=2020;volume=8;issue=3;spage=154;epage=157;aulast=Kumar |
| _version_ | 1818953288599470080 |
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| author | Barun Kumar Ashwin Kodliwadmath Amar Upadhyay Anupam Singh N Nanda |
| author_facet | Barun Kumar Ashwin Kodliwadmath Amar Upadhyay Anupam Singh N Nanda |
| author_sort | Barun Kumar |
| collection | DOAJ |
| description | Acute high-risk pulmonary embolism (PE) is defined as PE with either cardiac arrest, obstructive shock, or persistent hypotension at presentation. The incidence of venous thromboembolism (VTE) is lower following spine surgery compared to joint arthroplasty surgeries. The use of anticoagulants after spine surgery for the prevention of VTE is associated with a definite risk of epidural hematoma resulting in neurologic sequelae. Here, we report a case of a 57-year-old female who presented with cardio-respiratory arrest following spine surgery due to acute high-risk PE. In view of recent spine surgery and traumatic cardiopulmonary resuscitation, which are considered as contraindications for systemic thrombolysis and unavailability of cardiac surgery unit, the patient was treated with pharmaco-mechanical intervention resulting in successful recovery with no development of epidural hematoma or neurologic sequelae. Prophylactic anticoagulation for the prevention of VTE and the risk of epidural hematoma should be balanced after a case of spine surgery. |
| first_indexed | 2024-12-20T10:03:54Z |
| format | Article |
| id | doaj.art-6c78b4a1e6a444bf90a2f1a0c5604b28 |
| institution | Directory Open Access Journal |
| issn | 2321-449X |
| language | English |
| last_indexed | 2024-12-20T10:03:54Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart India |
| spelling | doaj.art-6c78b4a1e6a444bf90a2f1a0c5604b282022-12-21T19:44:17ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2020-01-018315415710.4103/heartindia.heartindia_39_20Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical interventionBarun KumarAshwin KodliwadmathAmar UpadhyayAnupam SinghN NandaAcute high-risk pulmonary embolism (PE) is defined as PE with either cardiac arrest, obstructive shock, or persistent hypotension at presentation. The incidence of venous thromboembolism (VTE) is lower following spine surgery compared to joint arthroplasty surgeries. The use of anticoagulants after spine surgery for the prevention of VTE is associated with a definite risk of epidural hematoma resulting in neurologic sequelae. Here, we report a case of a 57-year-old female who presented with cardio-respiratory arrest following spine surgery due to acute high-risk PE. In view of recent spine surgery and traumatic cardiopulmonary resuscitation, which are considered as contraindications for systemic thrombolysis and unavailability of cardiac surgery unit, the patient was treated with pharmaco-mechanical intervention resulting in successful recovery with no development of epidural hematoma or neurologic sequelae. Prophylactic anticoagulation for the prevention of VTE and the risk of epidural hematoma should be balanced after a case of spine surgery.http://www.heartindia.net/article.asp?issn=2321-449x;year=2020;volume=8;issue=3;spage=154;epage=157;aulast=Kumarcatheter-directed treatmentpulmonary embolismspine surgerythrombolysis |
| spellingShingle | Barun Kumar Ashwin Kodliwadmath Amar Upadhyay Anupam Singh N Nanda Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical intervention Heart India catheter-directed treatment pulmonary embolism spine surgery thrombolysis |
| title | Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical intervention |
| title_full | Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical intervention |
| title_fullStr | Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical intervention |
| title_full_unstemmed | Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical intervention |
| title_short | Acute high-risk pulmonary embolism following spine surgery successfully treated by pharmaco-mechanical intervention |
| title_sort | acute high risk pulmonary embolism following spine surgery successfully treated by pharmaco mechanical intervention |
| topic | catheter-directed treatment pulmonary embolism spine surgery thrombolysis |
| url | http://www.heartindia.net/article.asp?issn=2321-449x;year=2020;volume=8;issue=3;spage=154;epage=157;aulast=Kumar |
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