Intervención dirigida por catéter en la embolia aguda de pulmón. Posicionamiento SEC-Asociación de Cardiología Intervencionista/SEC-Asociación de Cardiopatía Isquémica y Cuidados Agudos Cardiovasculares/SEC-GT Hipertensión Pulmonar

IF 5.9 2区 医学 Q2 Medicine
Pablo Salinas , Ana Belén Cid Álvarez , Pablo Jorge Pérez , María Eugenia Vázquez-Álvarez , Alfonso Jurado-Román , Miriam Juárez , Miguel Corbí-Pascual , Maite Velázquez Martín , Jesús Jiménez-Mazuecos , Sandra Ofelia Rosillo Rodríguez , Valeriano Ruiz Quevedo , María Lázaro , Ana Viana-Tejedor , Javier Martín Moreiras , Roberto Martín-Asenjo
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引用次数: 0

Abstract

Pulmonary embolism (PE) is the leading cause of hospital death and the third most frequent cause of cardiovascular mortality. Traditionally, treatment options have included anticoagulation, thrombolysis, or surgery; however, catheter-directed interventions (CDI), including catheter-directed thrombolysis and aspiration thrombectomy, have been developed for patients with intermediate- or high-risk PE. These techniques can rapidly improve right ventricular function, hemodynamic status, and mortality in some patients, although there is a lack of evidence from randomized controlled trials. This document, prepared by the Interventional Cardiology Association, the Association of Ischemic Heart Disease and Acute Cardiovascular Care, and the Working Group on Pulmonary Hypertension of the Spanish Society of Cardiology (SEC), reviews the current recommendations and available evidence on the management of PE. It emphasizes the importance of rapid response teams, risk stratification, and early patient monitoring in identifying candidates for reperfusion. Based on existing clinical evidence on CDI, the document discusses various clinical scenarios and provides guidance on patient selection, particularly in situations of uncertainty due to insufficient evidence. Lastly, it describes periprocedural support, highlighting the necessary multidisciplinary approach to improve outcomes and reduce morbidity and mortality in patients with PE.
导管引导干预急性肺栓塞。美国证券交易委员会介入心脏病学协会/美国证券交易委员会缺血性心脏病和急性心血管护理协会/美国证券交易委员会- gt肺动脉高压
肺栓塞(PE)是医院死亡的主要原因,也是心血管死亡的第三大常见原因。传统上,治疗方案包括抗凝、溶栓或手术;然而,导管定向干预(CDI),包括导管定向溶栓和吸入性取栓,已被开发用于中高风险PE患者。这些技术可以迅速改善一些患者的右心室功能、血流动力学状态和死亡率,尽管缺乏随机对照试验的证据。本文件由介入心脏病学会、缺血性心脏病和急性心血管护理协会以及西班牙心脏病学会(SEC)肺动脉高压工作组编写,回顾了目前关于肺动脉栓塞治疗的建议和现有证据。它强调了快速反应小组、风险分层和早期患者监测在确定再灌注候选者中的重要性。根据CDI的现有临床证据,该文件讨论了各种临床情况,并提供了患者选择的指导,特别是在证据不足而不确定的情况下。最后,它描述了围手术期的支持,强调了必要的多学科方法来改善预后,降低PE患者的发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista espanola de cardiologia
Revista espanola de cardiologia 医学-心血管系统
CiteScore
4.20
自引率
13.60%
发文量
257
审稿时长
28 days
期刊介绍: Revista Española de Cardiología, Revista bilingüe científica internacional, dedicada a las enfermedades cardiovasculares, es la publicación oficial de la Sociedad Española de Cardiología.
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