Current Approach To Pulmonary Embolism
Journal Title: International Journal of Cardiology and Research (IJCRR) - Year 2018, Vol 5, Issue 4
Abstract
Aims: We planned to provide a systematic review of catheter-based therapies in acute pulmonary embolism (PE). Methods and Results: Studies published in peer-reviewed journals before January 2018 were included and categorised according to the mechanism of thrombus removal: fragmentation, rheolytic therapy, aspiration or catheter-directed thrombolysis. Advantages, challenges and the level of evidence of each device were evaluated. Patients suffering from acute PE, catheter-based therapies are promising options. Most of the procedures are carried using catheter-directed thrombolysis, either ultrasound-assisted or in combination with mechanical fragmentation. Aspiration therapy seems to be promising but sufficient data are not available. Considering the high number of related complications, rheolytic therapy should be applied with caution. Conclusions: Much more detailed research into the efficiency, safety and the cost-effectiveness of the devices are necessary to be conducted. After all, it is high possibility that with proper patient selection, CBT of massive and submassive can improve the results in patients with PE.
Authors and Affiliations
Caglar Ozmen
Keywords
Related Articles
- EP ID EP529658
- DOI 10.19070/2470-4563-1800021
- Views 88
- Downloads 0
“Role of D-Dimer in One Year Recurrence of Venous Thromboembolism after Completed Anticoagulation Treatment” Following A First Idiopathic Deep Vein Thrombosis
After oral anticoagulant therapy (OAT) withdrawal, the recurrence of risk is greatest in the first year and gradually diminishes, while the increased bleeding risk may offset the benefits of prolonged OAT. the benefits o...
Pulmonary Artery Denervation for Treatment of Pulmonary Arterial Hypertension: Results From a Controlled Before and After Study
Background: Pulmonary arterial hypertension (PAH) is a severe disease. 6-minute walk distance (6MWD) is correlated with the prognosis of PAH patients. We previously reported the safety and efficacy of pulmonary artery de...
Expression of Tropomyosin 2 Gene Isoforms in Human Cardiac Tissue
Previous studies have shown that although the transcript levels of TPM1α and TPM1k are expressed in human hearts in comparable levels, the level of TPM1α protein is ~90%. The proteins of TPM1κ and TPM2α are about 5% of t...
A Study on Patients Presenting Like Acute Coronary Syndrome in the Absence of Obstructive Coronary Artery Disease on Coronary Angiogram
Introduction: Particular interest has been raised in mechanisms of acute coronary syndromes (ACS) that cannot be explained by the presence of obstructive coronary atherosclerosis. Our study strived to find the prevalence...
Predictors and Outcomes of No-Reflow Phenomenon Following Primary Percutaneous Intervention for ST Elevation Myocardial Infarction
Background: The term no-reflow was first used by Majno and colleagues in the setting of cerebral ischemia in 1967. This phenomenon was initially described by Krug et al. during induced myocardial infarction in the canine...