Catheter-Directed Therapy in Acute Pulmonary Embolism with Right Ventricular Dysfunction: A Promising Modality to Provide Early Hemodynamic Recovery.


GÖREK DİLEKTAŞLI A. , Cetinoglu E. , ACET ÖZTÜRK N. A. , Erdogan C., URSAVAŞ A. , ÖZKAYA G. , ...More

Medical science monitor : international medical journal of experimental and clinical research, vol.22, pp.1265-73, 2016 (Journal Indexed in SCI Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22
  • Publication Date: 2016
  • Doi Number: 10.12659/msm.897617
  • Title of Journal : Medical science monitor : international medical journal of experimental and clinical research
  • Page Numbers: pp.1265-73
  • Keywords: Mechanical Thrombolysis, Pulmonary Embolism, Thrombolytic Therapy, RHEOLYTIC THROMBECTOMY, MANAGEMENT, FRAGMENTATION, THROMBOLYSIS, FIBRINOLYSIS, EMBOLECTOMY, OUTCOMES, PATIENT

Abstract

Background: Catheter-directed therapy (CDT) for pulmonary embolism (PE) is considered as an alternative to systemic thrombolysis (ST) in patients with hemodynamically unstable acute PE who are considered at high bleeding risk for ST. We aimed to evaluate the efficacy and safety of CDT in the management of acute PE with right ventricular dysfunction (RVD). The primary outcomes were mortality, clinical success, and complications. Secondary outcomes were change in hemodynamic parameters in the first 24 hours following the procedure.