Treatment of massive pulmonary embolism with systemic thrombolysis in the nearest postoperative period

Abstract

In the presented clinical observations, in one patient, acute massive pulmonary embolism developed on the 2nd day after the extended surgical intervention in the colon; in the second case, it developed on the 18th day after the extensive surgical aid against pancreatic necrosis. Clinical predictors of a high risk of death of thromboembolism and the technical impossibility of using another treatment method were the basis for systemic administration of tissue plasminogen activator. The direct result of systemic thrombolysis was the clinical recovery of patients. The hemorrhagic complication diagnosed in one of the observations was in the form of moderate bleeding from a vessel of the gastroenteroanastomosis region. Bleeding was stopped with the minimally invasive endoscopic clipping.

Pulmonary Thrombo-Embolism: Difficulties Encountered in Establishing Causal Relationship and Excluding Therapeutic Mismanagement-a Case Report

“…As such, the thrombo-endothelial junction at the origin of the thrombus provides the most reliable data for ageing of DVT PULMONARY THROMBO-EMBOLISM: DIFFICULTIES ENCOUNTERED IN ESTABLISHING CAUSAL RELATIONSHIP AND EXCLUDING THERAPEUTIC MISMANAGEMENT-A CASE REPORT and PTE. Dzidzava et al (2021); Fineschi and Tenmpcri (2009); Hope and Dbnwstslhbea ( 2007); Mansueto and Cdcev bgcrea (2019)As such, the best approach is to examine the residual thrombus which is almost always found in the deep leg veins. The vein wall containing the origin of the thrombus is obtained as a segment of the thrombosed vein preferably with the surrounding muscles during the dissection for histological examination.…”