Thrombolysis and extracorporeal cardiopulmonary resuscitation for cardiac arrest due to pulmonary embolism: A case report

Table 1 Time course of clinical events

Time	Event description
0 minute	Cardiac arrest: Patient experienced sudden cardiac arrest due to pulseless electrical activity while being transported by ambulance
5 minutes	Point-of-care ultrasound findings: Point-of-care ultrasound at the emergency department revealed an enlarged right ventricle with no contractility
15 minutes	Thrombolysis initiated: Pulmonary embolism was suspected, and systemic thrombolysis with tissue plasminogen activator was administered as rescue therapy during mechanical chest compressions
31 minutes	Extracorporeal membrane oxygenation implementation: Extracorporeal cardiopulmonary resuscitation with veno-arterial extracorporeal membrane oxygenation was initiated
39 minutes	Return of spontaneous circulation achieved: Return of spontaneous circulation was achieved after 8 minutes of extracorporeal membrane oxygenation support
Day 1	Computed tomography scan results: Computed tomography scan demonstrated thrombus in both pulmonary arteries
Day 2	Hemodynamic improvement: The hemodynamic situation improved, and the dilated right ventricle and myocardial contractility were significantly improved
Day 3	Decannulation and complications: The patient was decannulated. Unfortunately, he experienced intracerebral hemorrhagic complications
Day 7	Patient outcome: The patient had a severe hypoxic brain injury and died in the hospital