Keussen Inger E, Bursjoo Carina, Cwikiel Wojciech
Department of Radiology, Lund University, Lund, Sweden.
Faculty of Medicine, Department of Clinical Sciences, Lund University, Lund, Sweden.
Pol J Radiol. 2018 Jun 1;83:e248-e252. doi: 10.5114/pjr.2018.76785. eCollection 2018.
To present a single-centre experience with endovascular treatment of patients with severe symptoms secondary to acute pulmonary embolism (PE).
Twenty-five patients were treated due to contraindications or deficient effects of systemic thrombolytic therapy. The patients were treated with a combination of fragmentation and aspiration, only aspiration, or only fragmentation, and with catheter-directed thrombolytic therapy.
The saturation was improved following treatment in all patients, except in one where the procedure could not be completed. There were no immediate or late procedure-related complications.
Endovascular treatment of severe PE is a safe and efficient option in patients with failing effect or contraindication to systemic thrombolysis.
介绍单中心对急性肺栓塞（PE）继发严重症状患者进行血管内治疗的经验。
25例患者因全身溶栓治疗的禁忌症或疗效不佳而接受治疗。患者接受了碎栓与抽吸联合、单纯抽吸或单纯碎栓治疗，并接受了导管定向溶栓治疗。
除1例手术未完成的患者外，所有患者治疗后血氧饱和度均有所改善。无手术相关的即刻或晚期并发症。
对于全身溶栓治疗效果不佳或有禁忌症的患者，血管内治疗严重PE是一种安全有效的选择。
