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经皮肺动脉栓塞血栓切除术与溶栓术：技术要点与技巧

Percutaneous Pulmonary Embolism Thrombectomy and Thrombolysis: Technical Tips and Tricks.

作者信息

Devcic Zlatko, Kuo William T

机构信息

Division of Vascular and Interventional Radiology, Stanford University Medical Center, Stanford, California.

出版信息

Semin Intervent Radiol. 2018 Jun;35(2):129-135. doi: 10.1055/s-0038-1642042. Epub 2018 Jun 4.

DOI:10.1055/s-0038-1642042
PMID:29872249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5986568/
Abstract

Catheter-directed therapy (CDT) is now acknowledged as a treatment option for select patients with acute massive or submassive pulmonary embolism (PE), and more patients are being considered for CDT if there is available expertise. Therefore, interventionalists should be aware of the variety of catheter-based treatment options, specific pitfalls to avoid during therapy, and the appropriate treatment endpoints. This article reviews currently available techniques and protocols for treating acute massive and submassive PE, with tips to safely and successfully perform percutaneous PE interventions.

摘要

导管定向治疗（CDT）现已被公认为是特定急性大面积或次大面积肺栓塞（PE）患者的一种治疗选择，并且如果有可用的专业技术，更多患者正被考虑接受CDT治疗。因此，介入医生应了解各种基于导管的治疗选择、治疗期间要避免的特定陷阱以及合适的治疗终点。本文回顾了目前可用于治疗急性大面积和次大面积PE的技术和方案，并提供了安全、成功地进行经皮PE介入治疗的技巧。