Amniotic Fluid Embolism-Induced Cardiopulmonary Collapse Successfully Treated with Combination VA-ECMO and Impella CP
Hafez Golzarian, Alaha Mariam, Sidra Shah, Benjamin A. Pasley, Syed H. Haq, Anne R. Edgerton, William E. Scherger, Vanessa L. Stallkamp, Dennis Patel, Amanda Laird, William C. Cole, Sandeep M. Patel
Abstract
Amniotic fluid embolism (AFE) is a rare but potentially fatal complication of pregnancy. Prompt and aggressive resuscitative strategies are crucial in promoting survivability. We present a case of AFE resulting in cardiopulmonary collapse and subsequent cardiac arrest where we were able to safely deliver the baby and resuscitate the mother with veno-arterial extracorporeal membrane oxygenation and Impella CP-a novel combination known as ECPELLA. We discuss the implications of this approach as a more efficacious strategy in resuscitating AFE-induced cardiogenic shock and arrest.