Tromboembolismo pulmonar con compromiso hemodinámico: Tratamiento con trombólisis farmacológica y fragmentación mecánica. Caso clínico / Pulmonary thromboembolism treated with pharmacological thrombolysis and mechanical fragmentation: Report of one case
Rev. méd. Chile
; 133(12): 1477-1482, dic. 2005. ilus
Article
en Es
| LILACS
| ID: lil-428532
Biblioteca responsable:
BR1.1
RESUMO
Pulmonary Embolism (PE) has a wide clinical spectrum. It is imperative to detect patients with a high risk to develop right ventricular failure, because this is the main cause of death in patients with massive PE. In this group of patients, invasive therapies to relieve pulmonary obstruction and right ventricle overload should be used as soon as possible. We report a 85 years old male with massive PE treated with pharmacological thrombolysis and mechanical fragmentation with an angioplasty balloon. Pulmonary perfusion improved significantly. Afterwards, systemic anticoagulation was started and an inferior vena cava filter was installed percutaneously. The patient was discharged in good conditions, five days after admission.
Texto completo:
1
Bases de datos:
LILACS
Asunto principal:
Embolia Pulmonar
/
Terapia Trombolítica
Límite:
Aged
/
Aged80
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2005
Tipo del documento:
Article
País de afiliación:
Chile