Management of a massive pulmonary embolism in a pregnant patient with mechanical fragmentation followed by delayed catheter-directed thrombolysis in the early postpartum period

被引：10

作者：

O'Keeffe, S. A. ^{[1
]}

Mcgrath, A. ^{[1
]}

Ryan, J. M. ^{[1
]}

Byrne, B. ^{[2
]}

机构：

[1] St James Hosp, Dept Radiol, Dublin 8, Ireland

[2] Coombe Womens Hosp, RCSI Dept Obstet & Gynaecol, Dublin, Ireland

来源：

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE | 2008年 / 21卷 / 08期

关键词：

pulmonary embolism; thrombolysis; catheter fragmentation;

D O I：

10.1080/14767050802165604

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

There are limited data available on the management of massive pulmonary embolism in pregnancy. The use of systemic thrombolysis has been reported, but there are few documented cases on the use of mechanical fragmentation or catheter-directed thrombolysis. Systemic thrombolysis in pregnancy increases the risk of major hemorrhage and there are reports of massive subchorionic hematomas following its use. We describe the use of mechanical fragmentation and optional retrievable inferior vena cava (IVC) filter insertion in a 38-week pregnant woman followed by delayed pharmacological catheter-directed thrombolysis during the early postpartum period to successfully treat a massive pulmonary embolism.

引用

页码：591 / 594

页数：4

共 16 条

[1] Massive pulmonary embolism during pregnancy successfully treated with recombinant tissue plasminogen activator - A case report and review of treatment options [J].