Impella RP Support and Catheter-Directed Thrombolysis to Treat Right Ventricular Failure Caused by Pulmonary Embolism in 2 Patients

被引：22

作者：

Shokr, Mohamed ^{[1
]}

Rashed, Ahmed ^{[1
]}

Mostafa, Ashraf ^{[1
]}

Mohamad, Tamam ^{[1
]}

Schreiber, Theodore ^{[1
]}

Elder, Mahir ^{[1
]}

Kaki, Amir ^{[1
]}

机构：

[1] Wayne State Univ, Dept Cardiovasc Med, Detroit Med Ctr, Detroit, MI 48201 USA

来源：

TEXAS HEART INSTITUTE JOURNAL | 2018年 / 45卷 / 03期

关键词：

Catheterization; peripheral/instrumentation; combined modality therapy; equipment design; heart-assist devices; pulmonary embolism/complications/therapy; recovery of function; thrombolytic therapy; treatment outcome; ultrasonic therapy/instrumentation; ventricular dysfunction; right/physiopathology/therapy; ASSIST DEVICE; TRIAL;

D O I：

10.14503/THIJ-17-6316

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Right ventricular failure secondary to pulmonary embolism is associated with morbidity and death. The Impella RP System has often been used for percutaneous mechanical circulatory support in patients with right ventricular failure from other causes, including myocardial infarction, cardiac surgery, and left ventricular assist device implantation. We report 2 cases of massive pulmonary embolism in which combined Impella RP use and ultrasound-assisted catheter-directed thrombolysis effectively treated shock caused by right ventricular failure and contributed to successful outcomes. To our knowledge, only one other patient with this indication had been treated with the Impella RP device.

引用

页码：182 / 185

页数：4

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