Aspiration of thrombus for intermediate-risk subacute pulmonary embolism.
J Cardiothorac Surg
; 19(1): 188, 2024 Apr 08.
Article
em En
| MEDLINE
| ID: mdl-38589945
ABSTRACT
Pulmonary embolism is the most common cardiovascular disease after myocardial infarction and stroke. Konstantinides (Eur Heart J 41(4)543-603, 2020) Current guidelines categorize patients with PE as being at low, intermediate, and high risk of early death, with the intermediate-risk group experiencing the greatest uncertainty regarding treatment recommendations. Rapid reduction of the thrombus load by thrombolysis significantly reduces symptoms and decreases mortality, but is accompanied by a high risk of bleeding. Meyer (N Engl J Med 370(15)1402-11, 2014) Mechanical thrombectomy (CDTE) have been proven safe and efficient, yet current ESC guidelines suggest the utilization of catheter interventions only for hypotensive patients with high bleeding risk, failed systemic thrombolysis, and cardiogenic shock or if a patient does not respond to conservative therapy Konstantinides (Eur Heart J 41(4)543-603, 2020). Here, we report a case of an intermediate-risk patient with pulmonary embolism who underwent thrombus aspiration and showed significant improvement in symptoms after treatment.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
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Trombose
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Compostos de Cádmio
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Pontos Quânticos
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China