Document Detail


Successful treatment of massive pulmonary embolism with prolonged catheter-directed thrombolysis.
MedLine Citation:
PMID:  16550314     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a case report of a young woman who presented with an extensive pulmonary embolism and echocardiographic evidence of right ventricular dysfunction. Although hemodynamically stable, the patient's clinical condition failed to improve with standard heparin anticoagulation. Successful local catheter-directed thrombolysis was performed over an extended period of 48 h with regular monitoring of response to therapy by computed tomography-pulmonary angiography and echocardiography. To our knowledge, treatment of a pulmonary embolism by catheter-directed thrombolytic infusion over an extended period of 48 h has not previously been described.
Authors:
Peter Kelly; Niamh Carroll; Cliona Grant; Conor Barrett; Victor Kocka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart and vessels     Volume:  21     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-21     Completed Date:  2007-05-15     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  124-6     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Cork University Hospital, Wilton, Cork, Ireland. peterjwkelly50@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Catheterization
Echocardiography
Electrocardiography
Female
Fibrinolytic Agents / administration & dosage,  therapeutic use*
Humans
Pulmonary Embolism / diagnosis,  drug therapy*
Thrombolytic Therapy / methods*
Tomography, X-Ray Computed
Urokinase-Type Plasminogen Activator / administration & dosage,  therapeutic use*
Ventricular Dysfunction, Right / diagnosis,  drug therapy*
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents; EC 3.4.21.73/Urokinase-Type Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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