Document Detail

Successful percutaneous mechanical thrombectomy in a haemodynamically unstable patient with massive pulmonary embolism.
MedLine Citation:
PMID:  20146754     Owner:  NLM     Status:  MEDLINE    
Massive pulmonary embolism with haemodynamic instability has a high mortality. Traditionally these patients are treated with i.v. thrombolytic therapy. When this therapeutic approach is contraindicated, surgical embolectomy and most recently, percutaneous mechanical interventions are alternative treatment options. This case report presents a 73-year-old female with a residual hemiparesis secondary to a meningioma resection 45 days previously, who presented with progressive shortness of breath, accompanied by oppressive chest pain, hypotension, tachycardia and severe hypoxaemia. CT pulmonary angiogram confirmed a massive pulmonary embolism extending into the lobar branches bilaterally. The patient was treated with percutaneous mechanical thrombectomy with excellent haemodynamic and clinical outcomes.
Mateo Porres-Aguilar; Oscar C Munoz; Paola Alvarez; Emilio Gonzalez-Ayala
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-07
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  15     ISSN:  1440-1843     ISO Abbreviation:  Respirology     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  576-9     Citation Subset:  IM    
Division of Respiratory, Critical Care, and Occupational Pulmonary Medicine, University of Utah Health Sciences Center/School of Medicine, Salt Lake City, Utah 84132, USA.
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MeSH Terms
Hemodynamics / physiology
Hypotension / physiopathology
Pulmonary Embolism / physiopathology,  surgery*
Tachycardia / physiopathology
Thrombectomy / methods*
Treatment Outcome

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