The Successful Use of Extracorporeal Membrane Oxygenation in Systemic Lupus Erythematosus-Induced Diffuse Alveolar Haemorrhage
  • Faye Pais
    Division of Pulmonary Critical Care Medicine, University of California, San Francisco – Fresno, Fresno, California
  • Mohamed Fayed
    Division of Pulmonary Critical Care Medicine, University of California, San Francisco – Fresno, Fresno, California
  • Timothy Evans
    Division of Pulmonary Critical Care Medicine, University of California, San Francisco – Fresno, Fresno, California

Keywords

Alveolar hemorrhage, extra corporeal membrane oxygenation, lupus

Abstract

Diffuse alveolar haemorrhage (DAH) is a catastrophic pulmonary complication of systemic lupus erythematosus. It can result in refractory hypoxaemia despite mechanical ventilation. Increasing lung compliance and worsening pulmonary hypertension can potentiate cardiogenic shock from acute right ventricular failure. In such patients with cardiopulmonary collapse, veno-arterial (V-A) ECMO maybe a viable option that can provide the required haemodynamic support. However, the use of V-A ECMO in such patients is limited due to an associated increased risk of bleeding. Our case report describes the successful use of V-A ECMO without the use of systemic anticoagulation in a patient with DAH. Despite the absence of systemic anticoagulation, no thrombotic complications within the circuit were noted.

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    Published: 2017-01-27
    Issue: Vol. 4 No. 1 (view)

    How to cite:
    1.
    Pais F, Fayed M, Evans T. The Successful Use of Extracorporeal Membrane Oxygenation in Systemic Lupus Erythematosus-Induced Diffuse Alveolar Haemorrhage. EJCRIM 2017;4 doi:10.12890/2016_000515.