Acute Pulmonary Embolism With an Emphasis on an Interventional Approach

被引：53

作者：

Jaber, Wissam A. ^{[1
]}

Fong, Pete P. ^{[2
]}

Weisz, Giora ^{[3
]}

Lattouf, Omar ^{[4
]}

Jenkins, James ^{[5
]}

Rosenfield, Kenneth ^{[6
]}

Rab, Tanveer ^{[1
]}

Ramee, Stephen ^{[7
]}

机构：

[1] Emory Univ, Sch Med, Div Cardiol, Atlanta, GA 30322 USA

[2] Vanderbilt Heart & Vasc Inst, Nashville, TN USA

[3] Shari Zadek Med Ctr, Div Cardiol, Jerusalem, Israel

[4] Emory Univ, Sch Med, Div Cardiothorac Surg, Atlanta, GA 30322 USA

[5] Ochsner Med Ctr, New Orleans, LA USA

[6] Massachusetts Gen Hosp, Div Cardiol, Sect Vasc Med & Intervent, Boston, MA 02114 USA

[7] Ochsner Med Ctr, Struct & Valvular Heart Dis Program, New Orleans, LA USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2016年 / 67卷 / 08期

基金：

美国国家卫生研究院;

关键词：

embolectomy; fibrinolysis; interventional management; pulmonary artery; EXTRACORPOREAL MEMBRANE-OXYGENATION; ACUTE VENOUS THROMBOEMBOLISM; VENA-CAVA FILTERS; THROMBECTOMY DEVICE; SURGICAL-TREATMENT; RESPONSE TEAM; CATHETER; THROMBOLYSIS; RISK; METAANALYSIS;

D O I：

10.1016/j.jacc.2015.12.024

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Compared with recent advances in treatment of serious cardiovascular diseases, such as myocardial infarction and stroke, the treatment and outcome of acute pulmonary embolism (PE) have remained relatively unchanged over the last few decades. This has prompted several experts to call for the formation of multidisciplinary PE response teams with a more proactive approach to the treatment of PE. In the current document, we discuss the formation of such teams and describe the available treatment options beyond anticoagulation, with a focus on the interventional approach. Acknowledging the paucity of data to support widespread adoption of such techniques, we call for the collection of outcomes data in multicenter registries and support for randomized trials to evaluate interventional treatments in patients with high-risk PE. (C) 2016 by the American College of Cardiology Foundation.

引用

页码：991 / 1002

页数：12

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