Massive pulmonary embolism: Treatment with the Hydrolyser thrombectomy catheter

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dc.contributor.authorFava, M
dc.contributor.authorLoyola, S
dc.contributor.authorHuete, I
dc.date.accessioned2024-01-10T12:06:27Z
dc.date.available2024-01-10T12:06:27Z
dc.date.issued2000
dc.description.abstractPURPOSE: To assess the efficacy of clot removal with use of the Hydrolyser thrombectomy catheter in acute massive pulmonary embolism (PE),
dc.description.abstractMATERIALS AND METHODS: Eleven patients (eight women, three men) with a mean age of 61 (range, 37-79) years with acute massive PE underwent percutaneous mechanical thrombectomy (PMT) with use of the Hydrolyser, In four patients with no contraindication, fibrinolysis was performed with use of urokinase at low doses after thrombectomy,
dc.description.abstractRESULTS: Ten patients (90.9%) recovered from massive PE and were discharged within 11 days. The Urokinase Pulmonary Embolism Trial angiographic severity indexes (mean +/- SD) were 14.7 +/- 2.6 and 7.5 +/- 2.7, respectively, before and after thrombectomy (P <.001), Partial arterial pressures of O-2 increased from 72.8 mm Hg +/- 16.4 to 93.5 mm Hg +/- 5.6 (P <.005). Pulmonary artery pressure decreased from 45.5 mm Hg +/- 14.2 to 29.5 mm Hg +/- 13.6 after thrombectomy (P <.0001). Calculated by semiquantitative computed analysis, PMT with use of the Hydrolyser removed 74.06% of thrombus +/- 13.46%. One patient developed self-limited hemoptysis immediately after thrombectomy, One patient died during the procedure secondary to PE,
dc.description.abstractCONCLUSION: PMT with use of the Hydrolyser is effective and safe in massive PE, resulting in improved hemodynamics and blood oxygenation and decreased pulmonary artery pressure. It offers an alternative to fibrinolysis and surgical thrombectomy.
dc.fechaingreso.objetodigital2024-04-11
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/S1051-0443(07)61357-8
dc.identifier.issn1051-0443
dc.identifier.pubmedidMEDLINE:11041472
dc.identifier.urihttps://doi.org/10.1016/S1051-0443(07)61357-8
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76164
dc.identifier.wosidWOS:000089798100008
dc.information.autorucMedicina;Fava M;S/I;52076
dc.issue.numero9
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final1164
dc.pagina.inicio1159
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.revistaJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
dc.rightsacceso restringido
dc.subjectembolism, pulmonary
dc.subjectthrombectomy
dc.subjectHYDRODYNAMIC THROMBECTOMY
dc.subjectMECHANICAL THROMBECTOMY
dc.subjectEXPERIENCE
dc.subjectDEVICE
dc.subjectECHOCARDIOGRAPHY
dc.subjectFRAGMENTATION
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleMassive pulmonary embolism: Treatment with the Hydrolyser thrombectomy catheter
dc.typeartículo
dc.volumen11
sipa.codpersvinculados52076
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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