Effects of AngioJet mechanical thrombus aspiration system for patients of acute pulmonary embolism
10.3760/cma.j.issn.1007-631X.2018.06.011
- VernacularTitle:机械性血栓抽吸系统治疗急性肺动脉栓塞的近期疗效
- Author:
Youjun MAO
1
;
Liwei ZHU
;
Chenglong LI
;
Fengrui LEI
;
Yeqing ZHANG
;
Hongfei SANG
;
Aimin QIAN
;
Xiaoqiang LI
Author Information
1. 常州市第二人民医院血管外科
- Keywords:
Pulmonary embolism;
Mechanical thrombolysis;
AngioJet
- From:
Chinese Journal of General Surgery
2018;33(6):478-481
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical efficacy of AngioJet mechanical thrombus aspiration system for patients with acute pulmonary embolism (PE).Methods Clinical data of 28 cases of acute pulmonary embolism (PE) patients was retrospectively analyzed,8 cases (AngioJet group) were treated with AngioJet + CDT,20 cases were treated by pigtail catheter thrombolysis(CDT group)alone,the total amount of urokinase,thrombolytic time,related detection index and the occurrence of complications were compared between the two groups.Results The dosage of urokinase in the two groups was (72.5 ± 44.4) × 104U and (169.0 ± 59.3) × 104 U respectively,P ＜ 0.05.The catheter indwelling time was (1.0 ± 0.89) days and (2.65 ± 0.86) days respectively (P ＜ 0.05).There were no statistically significant differences in SBP,PaO2,SpO2 and D-dimer between the two groups before and after operation (P ＞ 0.05).Conclusion Both AngioJet and CDT are effective methods for the treatment of acute PE.The combination of the two methods can accelerate the improvement of clinical symptoms,reducing the dosage of thrombolytic drugs and the occurrence of surgery-related complications.
