[High-risk pulmonary embolism in early post-operative period].
High risk pulmonary embolism remains a major diagnostic and therapeutic challenge. One of the most difficult clinical situation is pulmonary embolism in patients in early postoperative period as most of them has contraindication to fibrinolysis. In this paper we present the case of patient with thrombophilia and pulmonary embolism diagnosed on the third day after cancer-related laparoscopic prostatectomy. Patient was successfully treated by means of percutaneous catheter thrombus defragmentation and intraarterial infusion of the reduced dose of alteplase.
II Katedra Kardiologii, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy, Szpital Uniwersytecki Nr 2, Bydgoszcz, Poland.. wojbalak@gazeta.pl
Wojciech
W
Balak
Piotr
P
Sobański
Wojciech
W
Wróbel
Magdalena
M
Węglarz
Jarosław
J
Pietrzak
Władysław
W
Sinkiewicz
D017073:Atherectomy; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D007261:Infusions, Intra-Arterial; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D019851:Thrombophilia / Q000209:etiology; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator