在一名患有大面积肺栓塞的患者中使用Cleaner™设备进行导管导向的血栓碎裂术。
Catheter-directed clot fragmentation using the Cleaner™ device in a patient presenting with massive pulmonary embolism.
作者信息
Barjaktarevic I, Friedman O, Ishak C, Sista A K
机构信息
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.
出版信息
J Radiol Case Rep. 2014 Feb 1;8(2):30-6. doi: 10.3941/jrcr.v8i2.1455. eCollection 2014 Feb.
Abstract
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.
摘要
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。
相似文献
1
Catheter-directed clot fragmentation using the Cleaner™ device in a patient presenting with massive pulmonary embolism.在一名患有大面积肺栓塞的患者中使用Cleaner™设备进行导管导向的血栓碎裂术。
J Radiol Case Rep. 2014 Feb 1;8(2):30-6. doi: 10.3941/jrcr.v8i2.1455. eCollection 2014 Feb.
2
Thrombolysis through a Swan-Ganz catheter in two patients with high-risk pulmonary embolism and absolute contraindication for systemic thrombolysis.对两名高危肺栓塞且存在全身溶栓绝对禁忌证的患者通过 Swan-Ganz 导管进行溶栓治疗。
Hellenic J Cardiol. 2018 Sep-Oct;59(5):296-297. doi: 10.1016/j.hjc.2017.11.008. Epub 2017 Nov 21.
3
[Mechanical fragmentation and catheter-guided thrombolysis in intermediate risk pulmonary embolism].
Medicina (B Aires). 2020;80(3):285-288.
4
Efficacy and safety of flow-directed pulmonary artery catheter thrombolysis for treatment of submassive pulmonary embolism.血流导向肺动脉导管溶栓治疗亚大块肺栓塞的疗效和安全性。
AJR Am J Roentgenol. 2014 Jun;202(6):1355-60. doi: 10.2214/AJR.13.11366.
5
Massive pulmonary embolism in pregnancy treated with catheter fragmentation and local thrombolysis.妊娠合并大面积肺栓塞行导管碎栓及局部溶栓治疗
Obstet Gynecol. 2005 Nov;106(5 Pt 2):1158-60. doi: 10.1097/01.AOG.0000164058.63244.9c.
6
Management of a massive pulmonary embolism in a pregnant patient with mechanical fragmentation followed by delayed catheter-directed thrombolysis in the early postpartum period.一名妊娠患者发生大面积肺栓塞，在产后早期先进行机械碎栓，随后进行延迟导管直接溶栓治疗。
J Matern Fetal Neonatal Med. 2008 Aug;21(8):591-4. doi: 10.1080/14767050802165604.
7
Catheter-directed Thrombolysis for Intermediate-Risk Pulmonary Embolism.导管定向溶栓治疗中危肺栓塞
Ann Am Thorac Soc. 2018 Feb;15(2):134-144. doi: 10.1513/AnnalsATS.201706-467FR.
8
[Treatment of massive pulmonary embolism with local thrombolysis].
Tidsskr Nor Laegeforen. 2002 Sep 30;122(23):2263-6.
9
Acute massive pulmonary embolism in a Jehovah's witness: successful treatment with catheter thrombectomy.
Chest. 2000 Feb;117(2):594-7. doi: 10.1378/chest.117.2.594.
10
Endovascular treatment of massive and submassive pulmonary embolism.大面积和次大面积肺栓塞的血管内治疗
Tech Vasc Interv Radiol. 2014 Jun;17(2):121-6. doi: 10.1053/j.tvir.2014.02.010.
引用本文的文献
1
Rethinking Pulmonary Embolism Management with an Interventional Perspective.从介入角度重新思考肺栓塞的管理
J Clin Med. 2025 Apr 29;14(9):3085. doi: 10.3390/jcm14093085.
2
Novel Challenges and Therapeutic Options for Pulmonary Embolism and Deep Vein Thrombosis.肺栓塞和深静脉血栓形成的新挑战与治疗选择
J Pers Med. 2024 Aug 21;14(8):885. doi: 10.3390/jpm14080885.
3
Percutaneous interventions for pulmonary embolism.经皮介入治疗肺栓塞。
EuroIntervention. 2024 Apr 1;20(7):e408-e424. doi: 10.4244/EIJ-D-23-00895.
4
The removal of floating right heart thrombi and pulmonary embolus using AngioJet device and venoarterial extracorporeal membrane oxygenation: a case report.使用AngioJet装置和静脉-动脉体外膜肺氧合清除漂浮性右心血栓和肺栓塞：一例报告
Ann Transl Med. 2022 May;10(10):612. doi: 10.21037/atm-22-1542.
5
Endovascular therapy for acute severe pulmonary embolism.急性重症肺栓塞的血管内治疗
Int J Cardiovasc Imaging. 2019 Aug;35(8):1443-1452. doi: 10.1007/s10554-019-01567-z. Epub 2019 Mar 15.
6
Acute pulmonary embolism: endovascular therapy.急性肺栓塞：血管内治疗
Cardiovasc Diagn Ther. 2018 Jun;8(3):244-252. doi: 10.21037/cdt.2017.12.05.
7
Catheter-Directed Thrombolysis for Submassive Pulmonary Embolism.导管定向溶栓治疗亚大面积肺栓塞
Semin Intervent Radiol. 2018 Jun;35(2):122-128. doi: 10.1055/s-0038-1642041. Epub 2018 Jun 4.
8
Interventional radiology treatment for pulmonary embolism.肺栓塞的介入放射学治疗
World J Radiol. 2017 Jul 28;9(7):295-303. doi: 10.4329/wjr.v9.i7.295.
本文引用的文献
1
Pulmonary Embolism Response to Fragmentation, Embolectomy, and Catheter Thrombolysis (PERFECT): Initial Results From a Prospective Multicenter Registry.肺栓塞对碎裂、栓子切除术和导管溶栓的反应（PERFECT）：一项前瞻性多中心注册研究的初步结果
Chest. 2015 Sep;148(3):667-673. doi: 10.1378/chest.15-0119.
2
Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.静脉血栓栓塞症的抗血栓治疗：《抗血栓治疗与血栓预防，第 9 版》：美国胸科医师学会循证临床实践指南。
Chest. 2012 Feb;141(2 Suppl):e419S-e496S. doi: 10.1378/chest.11-2301.
3
Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association.大面积和次大面积肺栓塞、髂股静脉深静脉血栓形成和慢性血栓栓塞性肺动脉高压的处理：美国心脏协会的科学声明。
Circulation. 2011 Apr 26;123(16):1788-830. doi: 10.1161/CIR.0b013e318214914f. Epub 2011 Mar 21.
4
Catheter-directed therapy for the treatment of massive pulmonary embolism: systematic review and meta-analysis of modern techniques.导管介入治疗在治疗大面积肺栓塞中的应用：现代技术的系统评价和荟萃分析。
J Vasc Interv Radiol. 2009 Nov;20(11):1431-40. doi: 10.1016/j.jvir.2009.08.002.
5
Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition).静脉血栓栓塞性疾病的抗栓治疗：美国胸科医师学会循证临床实践指南（第8版）
Chest. 2008 Jun;133(6 Suppl):454S-545S. doi: 10.1378/chest.08-0658.
6
Predictors of major hemorrhage following fibrinolysis for acute pulmonary embolism.急性肺栓塞溶栓治疗后大出血的预测因素。
Am J Cardiol. 2006 Jan 1;97(1):127-9. doi: 10.1016/j.amjcard.2005.07.117. Epub 2005 Nov 14.
7
Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER).急性肺栓塞：国际合作肺栓塞注册研究（ICOPER）的临床结局
Lancet. 1999 Apr 24;353(9162):1386-9. doi: 10.1016/s0140-6736(98)07534-5.
8
Management strategies and determinants of outcome in acute major pulmonary embolism: results of a multicenter registry.急性大面积肺栓塞的管理策略及预后决定因素：一项多中心注册研究的结果
J Am Coll Cardiol. 1997 Nov 1;30(5):1165-71. doi: 10.1016/s0735-1097(97)00319-7.
Zotero 插件