Contemporary Management of Acute Pulmonary Embolism

被引：7

作者：

Tan, Corinne W. ^{[1
]}

Balla, Sujana ^{[1
]}

Ghanta, Ravi K. ^{[1
]}

Sharma, Aditya M. ^{[2
]}

Chatterjee, Subhasis ^{[1
,3
,4
]}

机构：

[1] Baylor Coll Med, Michael E DeBakey Dept Surg, One Baylor Plaza,MC 390, Houston, TX 77030 USA

[2] Univ Virginia, Hlth Sci Ctr, Dept Med, Charlottesville, VA USA

[3] Baylor St Lukes Med Ctr, Dept Cardiovasc Surg, CHI St Lukes Hlth, Houston, TX USA

[4] Texas Heart Inst, Dept Cardiovasc Surg, Houston, TX 77025 USA

来源：

SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY | 2020年 / 32卷 / 03期

关键词：

Pulmonary embolism; Extracorporeal membrane oxygenation; Surgical embolectomy; Thrombolysis; EXTRACORPOREAL MEMBRANE-OXYGENATION; RIGHT HEART THROMBI; SURGICAL EMBOLECTOMY; THROMBOLYSIS; THERAPY; RISK; OUTCOMES; CARE;

D O I：

10.1053/j.semtcvs.2020.04.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Multiple treatment options beyond anticoagulation exist for massive and submassive pulmonary embolism to reduce mortality. For some patients, systemic thrombolytics and catheter-directed thrombolysis are appropriate interventions. For others, surgical pulmonary embolectomy can be life-saving. Extracorporeal life support and right ventricular assist devices can provide hemodynamic support in challenging cases. We propose a management algorithm for the treatment of massive and submassive pulmonary embolism, in conjunction with a multidisciplinary pulmonary embolism response team, to guide clinicians in individualizing treatment for patients in a timely manner. © 2020 Elsevier Inc.

引用

页码：396 / 403

页数：8

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