| Catheter embolectomy for acute pulmonary embolism. | |
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MedLine Citation:
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PMID: 17699137 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Massive pulmonary embolism (PE) is a life-threatening condition with a high early mortality rate due to acute right ventricular failure and cardiogenic shock. As soon as the diagnosis is suspected, an IV bolus of unfractionated heparin should be administered. In addition to anticoagulation, rapid initiation of systemic thrombolysis is potentially life-saving and therefore is standard therapy. Many patients with massive PE cannot receive thrombolysis because of an increased bleeding risk, such as prior surgery, trauma, or cancer. In these patients, catheter or surgical embolectomy are helpful for rapidly reversing right ventricular failure. Catheter thrombectomy appears to be particularly useful if surgical embolectomy is not available or the patient has contraindications to surgery. Although no controlled clinical trials are available, data from cohort studies indicate that the clinical outcomes after surgical and catheter embolectomy may be comparable. |
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Authors:
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Nils Kucher |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Chest Volume: 132 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-16 Completed Date: 2007-10-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 657-63 Citation Subset: AIM; IM |
Affiliation:
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Cardiovascular Division, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. nils.kucher@usz.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Catheterization / instrumentation* Embolectomy / methods* Equipment Design Humans Pulmonary Embolism / surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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