[Endovascular treatment].
Acute pulmonary thromboembolism is a common condition with non-specific findings, high mortality, and multiple therapeutic options. Death in patients with acute massive pulmonary thromboembolism is caused by sudden circulatory collapse as a consequence of obstructed pulmonary blood flow. Initial therapy must therefore be directed toward quickly restoring pulmonary circulation. In a number of cases, thrombolytic therapy may fail to achieve this therapeutic goal in time. Percutaneous catheter treatment may represent an additional option for high-risk patients. In this paper, different concepts of such treatment include pigtail catheter thrombectomy and embolus aspiration with PTCA guiding catheter are described.
Department of Radiology/Center for Advanced Medical Technology, Nippon Medical School.
Hiroyuki
H
Tajima
Satoru
S
Murata
Tatsuo
T
Kumazaki
D000208:Acute Disease; D000368:Aged; D002404:Catheterization / Q000379:methods*; D005260:Female; D006801:Humans; D011655:Pulmonary Embolism / Q000628:therapy*; D017131:Thrombectomy / Q000379:methods*