Uflacker R
Department of Radiology, Medical University of South Carolina, Charleston 29425, USA.
J Vasc Interv Radiol. 2001 Feb;12(2):147-64. doi: 10.1016/s1051-0443(07)61821-1.
Venous thromboembolism is a common cause of death. Acute massive pulmonary embolism (PE) is life-threatening and may require vigorous more invasive treatment. Several risk factors are related to increased incidence of massive PE. Anticoagulation is the most traditional treatment for PE but may not suffice in cases of massive PE. Systemic thrombolytic therapy, catheter-directed thrombolysis, percutaneous embolectomy, and more recently, percutaneous thrombus fragmentation techniques with a multitude of devices are now available to treat the most severe cases of massive PE. Successful treatment of PE includes implementation of a treatment protocol and the use of associated techniques and devices.
静脉血栓栓塞是一种常见的死亡原因。急性大面积肺栓塞(PE)危及生命,可能需要积极的更具侵入性的治疗。几个风险因素与大面积PE发病率增加有关。抗凝是治疗PE最传统的方法,但在大面积PE病例中可能并不足够。全身溶栓治疗、导管定向溶栓、经皮血栓切除术,以及最近出现的使用多种设备的经皮血栓破碎技术,现在可用于治疗最严重的大面积PE病例。成功治疗PE包括实施治疗方案以及使用相关技术和设备。