System thrombolysis combined with percutaneous catheter fragmentation and thrombectomy in acute massive pulmonary embolism
- VernacularTitle:静脉溶栓联合导管碎栓和切栓治疗急性大面积肺栓塞
- Author:
Zheng-Qiang YANG
;
Hai-Bin SHI
;
Lin-Sun LI
;
Sheng LIU
;
- Publication Type:Journal Article
- Keywords:
Pulmonary embolism;
Radiology,interventional;
Thrombolytic therapy
- From:
Chinese Journal of Radiology
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and clinical efficacy of system thrombolysis combined with percutaneous catheter thrombus fragmentation and thrombectomy for acute massive pulmonary embolism. Methods Ninteen patients with acute massive pulmonary embolism were treated with IVC filter placement, percutaneous catheter thrombus fragmentation and system thrombolysis combined with anticoangulation using low-molecular-weight heparin.Four of 19 patients underwent adjuvant Stranb Rotarex catheter thrombectomy.Results Twenty-one procedures were performed in 19 patients.Improvement of pulmonary artery patency and initial relief of symptoms immediately occurred in 18 of 19 patients after interventional therapy.The oxygen saturation increased from 86% to 97%.Pulmonary artery pressure decreased from 33? 5mm Hg(1mm Hg=0.133kPa)to 25?5mmHg after interventional therapy(t=13.2,P
