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Ekosonic血管内系统（EKOS）用于一名患有颅内出血、近期接受大手术且有大面积肺栓塞的创伤患者：病例报告。

Ekosonic Endovascular System (EKOS) in a trauma patient with intracranial bleed, recent major surgery, and massive pulmonary embolus: A case report.

作者信息

Nelson Steve M, Craig Steven H

机构信息

San Antonio Uniformed Services Health Education Consortium (SAUSCHEC), 3551 Roger Brooke Dr., San Antonio, Texas 78234 USA.

出版信息

Radiol Case Rep. 2017 Nov 7;13(1):156-160. doi: 10.1016/j.radcr.2017.10.005. eCollection 2018 Feb.

DOI:10.1016/j.radcr.2017.10.005
PMID:29487650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5826738/
Abstract

Pulmonary embolism is a life-threatening condition treated with anticoagulation and systemic thrombolysis when appropriate. In patients with contraindications to thrombolysis, catheter-directed thrombolysis may be considered. Here, we present a patient with massive pulmonary embolus and 3 contraindications to systemic thrombolysis who was successfully treated with pharmacomechanical thrombolysis using the Ekosonic Endovascular System.

摘要

肺栓塞是一种危及生命的疾病，在适当情况下采用抗凝和全身溶栓治疗。对于有溶栓禁忌证的患者，可考虑导管定向溶栓。在此，我们报告一例患有大面积肺栓塞且有3项全身溶栓禁忌证的患者，该患者使用Ekosonic血管内系统进行药物机械溶栓治疗成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c0/5826738/82410a336298/radcr363-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c0/5826738/82410a336298/radcr363-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c0/5826738/82410a336298/radcr363-fig-0001.jpg

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本文引用的文献

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J Vasc Surg Venous Lymphat Disord. 2017 May;5(3):303-310. doi: 10.1016/j.jvsv.2016.12.013.
2
Safety of catheter-directed thrombolysis for massive and submassive pulmonary embolism: Results of a multicenter registry and meta-analysis.导管定向溶栓治疗大面积和次大面积肺栓塞的安全性：一项多中心注册研究和荟萃分析的结果
Catheter Cardiovasc Interv. 2017 Mar 1;89(4):754-760. doi: 10.1002/ccd.26900. Epub 2017 Feb 1.
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Improved early right ventricular function recovery but increased complications with catheter-directed interventions compared with anticoagulation alone for submassive pulmonary embolism.
Cureus. 2021 May 23;13(5):e15189. doi: 10.7759/cureus.15189.
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J Vasc Surg Venous Lymphat Disord. 2016 Jul;4(3):268-75. doi: 10.1016/j.jvsv.2015.11.003. Epub 2016 Jan 7.
4
Early Experience with AngioVac Aspiration in the Pulmonary Arteries.肺动脉内AngioVac抽吸术的早期经验。
J Vasc Interv Radiol. 2016 May;27(5):730-4. doi: 10.1016/j.jvir.2016.01.012.
5
Catheter-Directed Therapy in Acute Pulmonary Embolism with Right Ventricular Dysfunction: A Promising Modality to Provide Early Hemodynamic Recovery.右心室功能不全的急性肺栓塞的导管定向治疗：实现早期血流动力学恢复的一种有前景的方式
Med Sci Monit. 2016 Apr 15;22:1265-73. doi: 10.12659/msm.897617.
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Cochrane Database Syst Rev. 2016 Jan 12(1):CD010222. doi: 10.1002/14651858.CD010222.pub3.
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JACC Cardiovasc Interv. 2015 Aug 24;8(10):1382-1392. doi: 10.1016/j.jcin.2015.04.020.
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Pulmonary embolism: risk assessment and management.肺栓塞：风险评估与管理。
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