Tough decisions in pulmonary embolism: thrombolysis or embolectomy?

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Tough decisions in pulmonary embolism: thrombolysis or embolectomy?

Patients presenting with acute pulmonary embolism (PE) and persisting haemodynamic instability need to be considered for primary reperfusion therapy with, commonly, thrombolysis or even surgical embolectomy [1]. Both treatment options can pose significant risks to the patient, but are potentially lifesaving when used appropriately. Absolute contraindications to thrombolysis include cases where ...

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Thrombolysis in Pulmonary Embolism

Correspondence to Won-Il Choi, M.D. Department of Internal Medicine, Keimyung University School of Medicine, 216 Dalseong-ro, Jung-gu, Daegu 700-712, Korea Tel: +82-53-250-7572, Fax: +82-53-250-7434, E-mail: [email protected] Copyrightc 2013 The Korean Association of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial L...

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Chronic Thromboembolic Pulmonary Hypertension after Pulmonary Embolism, Thrombolysis, Catheter Fragmentation, and Embolectomy

A 21-year-old male patient with massive acute pulmonary embolism was treated by thrombolysis, interventional thrombus fragmentation, and surgical pulmonary embolectomy. Within the following 2 years, the patient developed progressive dyspnea at exertion. Chronic thromboembolic pulmonary hypertension was diagnosed by right-heart catheter, VQ scan, magnetic resonance, and conventional pulmonary an...

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Surgical embolectomy for acute massive pulmonary embolism.

OBJECTIVE Acute massive pulmonary embolism (PE) is associated with significant mortality rate despite diagnostic and therapeutic advances. The aim of this study was to analyze our clinical outcomes of patients with acute massive PE who underwent emergency surgical pulmonary embolectomy. METHODS This retrospective study included 13 consecutive patients undergoing emergency surgical pulmonary e...

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Massive pulmonary embolism: the place for embolectomy

Untreated massive pulmonary embolism is associated with a high mortality. Pulmonary embolectomy has been largely superceded by thrombolytic therapy, but there are cases in which pulmonary embolectomy remains the treatment of choice. We present three case reports and discuss the merits of the various treatments available for massive pulmonary embolism. The primary treatment of massive pulmonary ...

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ژورنال

عنوان ژورنال: Oxford Medical Case Reports

سال: 2016

ISSN: 2053-8855

DOI: 10.1093/omcr/omw070