title: Successful Treatment of Massive Pulmonary Embolism With Catheter-Directed Thrombolysis in a Patient With Lymphocele: A Rare Cause of Thromboembolism.
abstract: Pulmonary embolism is a frequent and mortal situation especially in high-risk patients. Although thrombolytics and anticoagulants are the main options in treatment, substantial portion of patients also have high bleeding risk. Therefore, new catheter-directed treatment strategies, such as ultrasound-assisted transcatheter thrombolysis, gain importance in treatment options for intermediate and high-risk patients. Here, we report a case of massive pulmonary embolism due to the iatrogenic lymphocele after a radical retropubic prostatectomy procedure. The usage of ultrasound-assisted transcatheter thrombolysis was successful in such a high-risk patient.
authors.affiliation: 1Department of Cardiology, Marmara University Hospital, Istanbul, Turkey; and 2Department of Urology, Marmara University Hospital, Istanbul, Turkey.
authors.forename: Altug
authors.initials: A
authors.lastname: Cincin
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bozbay
authors.forename: Mustafa
authors.initials: M
authors.lastname: Oguz
authors.forename: Anil
authors.initials: A
authors.lastname: Sahin
authors.forename: Yiloren
authors.initials: Y
authors.lastname: Tanidir
authors.forename: Bulent
authors.initials: B
authors.lastname: Mutlu
mesh_terms: D002404:Catheterization / Q000379:methods; D006801:Humans; D008210:Lymphocele / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods; D011655:Pulmonary Embolism / Q000209:etiology / Q000628:therapy*; D013923:Thromboembolism / Q000209:etiology / Q000628:therapy; D015912:Thrombolytic Therapy / Q000379:methods*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*