Barjaktarevic I, Friedman O, Ishak C, Sista A K
Division of Pulmonary and Critical Care Medicine, New York Presbyterian Hospital, Weill Cornell Medical College, New York, USA.
Division of Interventional Radiology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, USA.
J Radiol Case Rep. 2014 Feb 1;8(2):30-6. doi: 10.3941/jrcr.v8i2.1455. eCollection 2014 Feb.
Massive pulmonary embolism not amenable to systemic thrombolysis is a therapeutic challenge. Catheter directed clot fragmentation and thrombolysis have been efficacious in this setting. We describe successfully treating a massive pulmonary embolism with catheter-directed thrombolysis and clot fragmentation using local tPA, aspiration, and the Cleaner™ device in a patient with an absolute contraindication to systemic thrombolysis.
无法进行全身溶栓治疗的大面积肺栓塞是一项治疗挑战。在这种情况下，导管定向血栓破碎和溶栓已被证明有效。我们描述了在一名存在全身溶栓绝对禁忌证的患者中，使用局部组织纤溶酶原激活剂（tPA）、抽吸和Cleaner™ 装置，通过导管定向溶栓和血栓破碎成功治疗大面积肺栓塞的病例。
