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行进中的血栓:取出还是溶解?

Thrombus in Transit: Extract or Dissolve?

作者信息

Dhulipala Vishal R, Fayoda Bolajoko O, Kyaw Htoo, Ayala-Rodriguez Cesar

机构信息

Internal Medicine, The Brooklyn Hospital Center, Brooklyn, USA.

Cardiology, The Mount Sinai Hospital, New York, USA.

出版信息

Cureus. 2020 Aug 4;12(8):e9550. doi: 10.7759/cureus.9550.

DOI:10.7759/cureus.9550
PMID:32905490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7470666/
Abstract

Thrombus in transit (TIT) remains an uncommon diagnosis. However, it is often found in patients diagnosed with acute pulmonary embolism (PE). While thrombolytics are mainly used in life-threatening presentations, their role in stable patients with a known history of intracranial hemorrhage (ICH) is unclear.

摘要

移动性血栓(TIT)仍然是一种罕见的诊断。然而,它经常在被诊断为急性肺栓塞(PE)的患者中被发现。虽然溶栓剂主要用于危及生命的情况,但它们在有颅内出血(ICH)已知病史的稳定患者中的作用尚不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/7470666/4b3339dceaef/cureus-0012-00000009550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/7470666/4b3339dceaef/cureus-0012-00000009550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eee/7470666/4b3339dceaef/cureus-0012-00000009550-i01.jpg

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Clot In Transit in a Patient with Protein S Deficiency.蛋白S缺乏症患者的循环中血栓
Eur J Case Rep Intern Med. 2022 May 5;9(5):003355. doi: 10.12890/2022_003355. eCollection 2022.

本文引用的文献

1
Right Ventricular Thrombus in Transit: Raising the Stakes in the Management of Pulmonary Embolism.移动性右心室血栓:提高肺栓塞治疗的风险
CASE (Phila). 2019 Jul 2;3(6):272-276. doi: 10.1016/j.case.2019.05.006. eCollection 2019 Dec.
2
Right heart thrombus in transit: a series of two cases.移动性右心血栓:两例系列报道。
Crit Ultrasound J. 2017 Dec;9(1):14. doi: 10.1186/s13089-017-0069-9. Epub 2017 Jun 15.
3
Pulmonary Embolism and Intracardiac Type A Thrombus with an Unexpected Outcome.肺栓塞与心内A型血栓及意外结局
Case Rep Cardiol. 2017;2017:9092576. doi: 10.1155/2017/9092576. Epub 2017 Apr 2.
4
Should we exclude acute stroke patients with previous intracerebral hemorrhage from receiving intravenous thrombolysis?急性脑梗死患者既往有颅内出血者是否应排除静脉溶栓治疗?
Int J Stroke. 2016 Oct;11(7):783-90. doi: 10.1177/1747493016654289. Epub 2016 Jun 16.
5
Comparative efficacy of different modalities for treatment of right heart thrombi in transit: a pooled analysis.不同治疗方式对右心移行性血栓的疗效比较:一项汇总分析。
Vasc Med. 2015 Apr;20(2):131-8. doi: 10.1177/1358863X15569009.
6
Hemorrhagic transformation after cerebral infarction: current concepts and challenges.脑梗死出血性转化:现状与挑战
Ann Transl Med. 2014 Aug;2(8):81. doi: 10.3978/j.issn.2305-5839.2014.08.08.
7
Large embolus in transit - an unresolved therapeutic dilemma (case report and review of literature).游走性大栓子——未解决的治疗困境(病例报告并文献复习)。
Heart Lung. 2014 Mar-Apr;43(2):152-4. doi: 10.1016/j.hrtlng.2013.08.005. Epub 2013 Sep 14.
8
Right cardiac thrombus in transit among patients with pulmonary thromboemboli.肺血栓栓塞症患者体内游走性右心血栓。
Clin Cardiol. 2009 Jun;32(6):E27-31. doi: 10.1002/clc.20386.
9
Mobile thrombi of the right heart in pulmonary embolism: delayed disappearance after thrombolytic treatment.肺栓塞中右心的移动性血栓:溶栓治疗后延迟消失
Chest. 2005 Mar;127(3):1051-3. doi: 10.1378/chest.127.3.1051.
10
Treatment of right heart thromboemboli.右心血栓栓塞的治疗。
Chest. 2002 Mar;121(3):806-14. doi: 10.1378/chest.121.3.806.