Interventional Therapy for Pulmonary Embolism

Uflacker, Renan

doi:10.1016/s1051-0443(07)61821-1

Cited by 116 publications

(102 citation statements)

References 54 publications

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“…[2][3][4] Rapid risk stratification is paramount for identifying high-risk patients and helps select the appropriate treatment strategy. Thrombolysis, [5][6][7] catheter intervention, 8,9 or surgical embolectomy 5,10 as adjuncts to anticoagulation may rapidly reverse RV failure and reduce the risk of recurrence and death. 11 According to the European Task Force Guidelines on PE, 5 reperfusion therapy is indicated in patients with cardiogenic shock and may be considered in selected patients with preserved systemic pressure and RV dysfunction.…”

mentioning

confidence: 99%

Right Ventricular Enlargement on Chest Computed Tomography

et al. 2004

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confidence: 99%

Right Ventricular Enlargement on Chest Computed Tomography

et al. 2004

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“…Treatment for life-threatening PE is thrombolysis with anticoagulation therapy. Cardiothoracic surgery is indicated in high-risk patients, or in patients with contraindications to thrombolytic drugs [4]. In the current literature, there is no difference in outcomes between localized intrapulmonary thrombolysis treatments compared to systemic intravenous thrombolysis treatment [5].…”

Section: Discussionmentioning

confidence: 99%

Paradoxical Embolism Causing Myocardial Infarction

Nguyen

Morales-Mangual

et al. 2017

J Med Cases

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In this case report, we present a case of a likely paradoxical embolism in a young patient with no significant risk factor for coronary artery disease that initially presented with shortness of breath and bilateral calf pain that was found to have a deep vein thrombosis. There was a development of a pulmonary embolism that we believed due to right ventricular strain resulted in an embolus crossing into the arterial system via an intracardiac shunt causing a myocardial infarction via a distal occlusion of the right coronary artery. Patient was treated with full dose anticoagulation and a patent foramen ovale (PFO) closure was recommended.

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“…Indications of percutaneous catheter embolectomy and fragmentation are unsuccessful systemic TL, contraindicatons of systemic lysis, PE with haemodynamic shock (resuscitation, mechanical ventilation), clot in the right heart, and also an alternative for the surgical embolectomy if no experienced team is available (Kucher et al, 2005;Uflacker, 2001). Surgical embolectomy has a high mortality rate in the high-risk PE group.…”

Section: Catheter Extraction and Surgical Embolectomymentioning

confidence: 99%