Tromboembolismo pulmonar con compromiso hemodinámico: Tratamiento con trombólisis farmacológica y fragmentación mecánica. Caso clínico / Pulmonary thromboembolism treated with pharmacological thrombolysis and mechanical fragmentation: Report of one case
Rev. méd. Chile
;
133(12): 1477-1482, dic. 2005. ilus
Article
in Spanish
| LILACS
| ID: lil-428532
RESUMO
Pulmonary Embolism (PE) has a wide clinical spectrum. It is imperative to detect patients with a high risk to develop right ventricular failure, because this is the main cause of death in patients with massive PE. In this group of patients, invasive therapies to relieve pulmonary obstruction and right ventricle overload should be used as soon as possible. We report a 85 years old male with massive PE treated with pharmacological thrombolysis and mechanical fragmentation with an angioplasty balloon. Pulmonary perfusion improved significantly. Afterwards, systemic anticoagulation was started and an inferior vena cava filter was installed percutaneously. The patient was discharged in good conditions, five days after admission.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pulmonary Embolism
/
Thrombolytic Therapy
Limits:
Aged
/
Aged80
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2005
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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