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全身溶栓失败后导管导向治疗亚大面积肺栓塞

Catheter-directed therapy for submassive pulmonary embolism after unsuccessful systemic thrombolysis.

作者信息

Dong Chang, Jiang Shufen, Ji Donghua, Ji Yingqun, Zhang Zhonghe

机构信息

1 74710 Department of Respiratory Medicine, First Affiliated Hospital of Dalian Medical University, Dalian City, Liaoning Province, China.

2 74710 Department of Cardiovascular Medicine, First Affiliated Hospital of Dalian Medical University, Dalian City, Liaoning Province, China.

出版信息

Pulm Circ. 2018 Jan-Mar;8(1):2045893217736262. doi: 10.1177/2045893217736262. Epub 2017 Sep 28.

Abstract

Catheter-directed therapy (CDT) has emerged as an important treatment for pulmonary embolism (PE). We present a patient with life-threatening submassive PE with transient hypotension, progressive right ventricular dysfunction, and respiratory failure who failed anticoagulation and had little improvement with systemic thrombolysis, but responded well to catheter-directed therapy.

摘要

导管定向治疗(CDT)已成为治疗肺栓塞(PE)的一种重要方法。我们报告了一名患有危及生命的亚大块肺栓塞患者,伴有短暂性低血压、进行性右心室功能障碍和呼吸衰竭,该患者抗凝治疗失败,全身溶栓治疗效果不佳,但对导管定向治疗反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0324/5731728/0a750cfed287/10.1177_2045893217736262-fig1.jpg

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