Koizumi J, Kusano S, Akima T, Isoda K, Hikita H, Kurita A, Nakamura H
Department of Radiology, National Defense Medical College, Saitama Prefecture, Japan.
Cardiovasc Intervent Radiol. 1998 May-Jun;21(3):254-5. doi: 10.1007/s002709900257.
A patient with a pulmonary embolism due to deep vein thrombosis of a lower extremity developed hypotension and cor pulmonale despite prior placement of an inferior vena caval filter and treatment with a thrombolytic agent. After failure of percutaneous guidewire fragmentation and thrombosuction, self-expandable bilateral Z stents were positioned into the lower branches through the pulmonary arterial trunks. The patient experienced immediate relief of her cor pulmonale and successful recovery from hypotension.
一名因下肢深静脉血栓形成导致肺栓塞的患者，尽管先前已放置下腔静脉滤器并接受了溶栓药物治疗，但仍出现低血压和肺心病。在经皮导丝破碎和血栓抽吸失败后，通过肺动脉主干将可自膨胀的双侧Z形支架置入下部分支。患者的肺心病立即得到缓解，低血压也成功恢复。
