TY  - JOUR
AU  - Kwan Young Oh
AU  - Jinho Choi
AU  - Kangjae Jung
AU  - Chang Young Jung
AU  - Jung Bo Yang
AU  - Chul Kwon Lim
AU  - Joong Gyu Ha
AU  - Yun Seok Yang
PY  - 2024
DA  - 2024/03/31
TI  - Successful Venoarterial Extracorporeal Membrane Oxygenation Treatment in a Pregnant Woman with Amniotic Fluid Embolism
JO  - Archives of Clinical Trials
VL  - 4
IS  - 1
AB  - Amniotic fluid embolism (AFE) is a rare, but catastrophic, obstetric complication with a high mortality
rate. Moreover, >50% of maternal deaths occur within 1 h of symptom development. Further, it involves
a high perinatal mortality rate, with 50% of affected neonates presenting neurological impairments.
AFE is characterized by cardiovascular collapse, respiratory failure, and coagulopathy, followed
by encephalopathy, multi-organ failure, and fetal distress. Therefore, its treatment strategy includes
cardiopulmonary support, massive transfusion, and early cesarean section. However, venoarterial
extracorporeal membrane oxygenation (VA-ECMO) has been used in cases with rapid progression
of cardiac dysfunction, which has significantly decreased the maternal mortality rate. Therefore,
VA-ECMO has been accepted as a useful treatment method for patients with AFE, including cardiac
dysfunction. This article describes a case in which a patient with AFE was successfully treated with
VA-ECMO and presents a literature review
SN  - 2768-4598
UR  - https://dx.doi.org/10.33425/2768-4598.1039
DO  - 10.33425/2768-4598.1039