高危肺栓塞的导管引导治疗：9 例病例分析。

IF 2.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Medicina Clinica Pub Date : 2024-11-15 DOI:10.1016/j.medcli.2024.04.024

Sonia Pascual García , Ana Castell Herrera , Juan Julian Cuesta Pérez , Adriana Rodriguez Perojo , Araceli Abad Fernández , Maria Teresa Río Ramirez

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引用次数: 0

摘要

背景：机械血栓切除术是治疗高危肺栓塞患者的有效技术。当全身性纤溶禁忌时，它可作为全身性纤溶的替代疗法；当全身性纤溶失败时，它可作为辅助疗法：描述接受机械性血栓切除术的高危肺栓塞患者的临床特征、演变和存活情况：方法：对连续接受机械性血栓切除术的患者进行单中心回顾性描述性研究。分析了人口统计学、临床和生存变量：共纳入 9 名患者（56% 为男性，44% 为女性）。所有患者在血栓切除术前都使用斯旺-甘孜导管评估了肺动脉压力。术前肺动脉压力的中位数为46毫米汞柱（51-38毫米汞柱）。5例患者还进行了全身纤维蛋白溶解术，其中2例在心肺功能骤停的情况下进行，未出现出血并发症。没有患者在住院期间死亡。术后一个月的存活率为100%：在我们的系列研究中，机械血栓切除术是一种有用的技术，可以替代全身性纤维蛋白溶解术或作为其辅助疗法。

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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Terapia dirigida por catéter en embolia pulmonar de alto riesgo: análisis de 9 casos

Background

Mechanical thrombectomy is a useful technique in patients with high-risk pulmonary embolism. It is indicated as an alternative to systemic fibrinolysis when it is contraindicated or as an adjuvant therapy when it fails.

Objective

To describe clinical characteristics, evolution and survival of patients with high-risk pulmonary embolism who have undergone mechanical thrombectomy.

Method

Single-center retrospective descriptive study of consecutive patients who underwent mechanical thrombectomy. Demographic, clinical and survival variables were analyzed.

Results

9 patients were included (56% men, 44% women). All patients had pulmonary artery pressure assessed using a Swan-Ganz catheter before thrombectomy. The median pulmonary artery pressure before the procedure was 46 mmHg (51-38 mmHg). Systemic fibrinolysis was also performed in 5 cases, in 2 of them in the setting of cardiorespiratory arrest, without hemorrhagic complications. No patient died during hospitalization. Survival one month after the procedure was 100%.

Conclusions

In our series, mechanical thrombectomy is a useful technique as an alternative to systemic fibrinolysis or as an adjuvant therapy to it.

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来源期刊

Medicina Clinica 医学-医学：内科

CiteScore

3.10

自引率

5.10%

发文量

295

审稿时长

22 days

期刊介绍： Medicina Clínica, fundada en 1943, es una publicación quincenal dedicada a la promoción de la investigación y de la práctica clínica entre los especialistas de la medicina interna, así como otras especialidades. Son características fundamentales de esta publicación el rigor científico y metodológico de sus artículos, la actualidad de los temas y, sobre todo, su sentido práctico, buscando siempre que la información sea de la mayor utilidad en la práctica clínica.