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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Embolia Pulmonar
/
Terapia Trombolítica
Limite:
Idoso
/
Aged80
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2005
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
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