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Table 4 Presentation, treatment, and outcome of intraoperative high-risk pulmonary embolism case series

From: Intraoperative circulatory arrest secondary to high-risk pulmonary embolism. Case series and updated literature review

Sex, Age, Date

Surgery

CA Rhythm

CPR* (min)

ROSC

Support*

CTA

ST

Outcome

F, 83, 12/11/2014

HA

Asystole

12

No

High

No

Alteplase 50 mg IV

Dead

M, 47, 30/07/2015

RN

PEA (15 m)

Asystole (7 m)

20

No

High

No

No

Dead

F, 21, 03/10/2015

Cesarean section

PEA (5 m)

ROSC (60 m)

PEA (20 m)

20

Yes

High

No

No

Dead

F, 55, 31/05/2017

TH

5 EP PEA

15

Yes

High

No

Alteplase 50 mg IV

Dead

F, 89, 17/04/2018

HA

PEA (7 m)

ROSC (20 m)

Asystole (15 m)

15

Yes

High

No

No

Dead

M, 73, 15/12/2019

TURP

Asystole (12 m)

12

No

High

No

No

Dead

F, 68, 12/07/2022

BARFC

PEA (3 m)

3

Yes

Low

Yes

Enoxaparin40mg/12H

Survived NNS

F, 74, 21/09/2022

TKR

PEA (3 m)

ROSC (25 m)

PEA (4 m)

4

Yes

High

No

MT

Survived NNS

  1. CA: cardiac arrest, TEE: Transthoracic Echocardiogram, ROSC: Return of Spontaneous Circulation after resuscitation and hemodynamic support, CTA: Computed Tomography Angiography, ST: Specific Therapy, F: Female, M: Male, EP: Episode, PEA: Pulseless electrical activity, TH: Total Hysterectomy, TURP: Transurethral Resection of the Prostate, HA: Hip arthroplasty, RN: Radical Nephrectomy, MT: Mechanical Thrombectomy, TKR: Total Knee Replacement, BARFC: Bilateral Anterior Rheumatic Forefoot Correction, NNS: no neurological sequelae
  2. *CPR: cardiopulmonary resuscitation of the last episode of cardiac arrest
  3. *High support: norepinephrine > 0.2ug/kg/min and vasopressin > 0.04 UI/min
  4. *Low support: norepinephrine < 0.2ug/kg/min and/or vasopressin < 0.04 UI/min