DOI: 10.12890/2016_000515

The Successful Use of Extracorporeal Membrane Oxygenation in Systemic Lupus Erythematosus-Induced Diffuse Alveolar Haemorrhage

Authors

  • 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

fpais@fresno.ucsf.edu

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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References

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Published

2017-01-27

Issue

Vol. 4 No. 1 (2017)

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 [Internet]. 2017 Jan. 27 [cited 2026 Nov. 4];4(1). Available from: https://ejcrim.com/index.php/ejcrim/article/view/515