Karam P S Gill, Daniel P O'Brien, Jonathan E Soverow
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引用次数: 0
摘要
高危肺栓塞(PE)是一种与高死亡率相关的复杂临床实体。超声辅助导管引导溶栓通常用于中危肺栓塞,而对于高危肺栓塞,尤其是大出血风险较高的患者,超声辅助导管引导溶栓可能是一种可行的治疗方法。本报告描述了一例成功使用超声辅助导管引导溶栓治疗高危 PE 的病例,患者为女性,胃腺癌广泛腹膜转移。此外,还提供了文献中利用超声辅助导管引导溶栓治疗高危 PE 的其他实例。
Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism.
High-risk pulmonary embolism (PE) is a complex clinical entity associated with high mortality rates. Ultrasound-assisted, catheter-directed thrombolysis, typically used for intermediate-risk PE, may be a viable treatment approach for high-risk PE, particularly in patients at increased risk for major bleeding. This report describes a case in which ultrasound-assisted, catheter-directed thrombolysis was successfully used to treat high-risk PE in a female patient with extensive peritoneal metastases from gastric adenocarcinoma. Other examples from the literature, in which ultrasound-assisted, catheter-directed thrombolysis was used to treat high-risk PE, are also provided.
期刊介绍:
For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease.
The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central.
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