Acute-on-Chronic Massive Pulmonary Embolism Treated With 3-Loop Snare

Hsu, Jen Te; Nakamura, Shigeru; Yamamoto, Ryûji; Kobayashi, Tomoko; Funatsu, Atsushi; Enjoji, Yoshihisa; Mizobuchi, Masahiro; Hori, Masaki; Miyamoto, Chinae

doi:10.1253/circj.cj-07-0854

Circ J

2008

DOI: 10.1253/circj.cj-07-0854

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Acute-on-Chronic Massive Pulmonary Embolism Treated With 3-Loop Snare

Jen Te Hsu

Shigeru Nakamura

Ryûji Yamamoto

et al.

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Cited by 3 publications

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“…1,2 Despite advances in diagnostic modalities and therapeutic options including catheter-based intervention, approximately 6-15% of the patients died during hospitalization. [3][4][5][6][7][8] It has been proven that the patients with massive APE, defined by systemic hypotension, constitute a high-risk group and should be treated with thrombolysis or embolectomy. 9- 11 Right ventricular (RV) dysfunction is also a well-known independent predictor of early death, and thus thrombolysis or embolectomy has become a preferred treatment modality in APE patients with RV dysfunction.…”

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confidence: 99%

Usefulness of Computed Tomographic Pulmonary Angiography in the Risk Stratification of Acute Pulmonary Thromboembolism - Comparison With Cardiac Biomarkers -

Seon

Kim

Lee

et al. 2011

Circ J

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Background:To evaluate the usefulness of computed tomographic pulmonary angiographic (CTPA) variables in the risk stratification of acute pulmonary thromboembolism (APE) and compare these variables with cardiac biomarkers. Methods and Results:Eighty consecutive patients with APE were divided into patients with right ventricular (RV) dysfunction (n=49, 62.1±15.1 years, 31 females) vs. patients without RV dysfunction (n=31, 67.7±13.7 years, 18 females). CTPA variables were analyzed and compared with cardiac biomarkers. The ratio of right to left ventricular dimension (RVD/LVD), CT index of PA clot load, contrast reflux to the inferior vena cava (IVC), and ventricular septal bowing (VSB) were significantly different CTPA variables between the groups. These variables were also significantly associated with cardiac biomarkers. By receiver operation characteristic curve analysis, the area under the curve to predict RV dysfunction was 0.863 for RVD/LVD, 0.841 for PA clot load, 0.744 for contrast reflux to IVC, and 0.635 for VSB. The optimal cut-off value to predict RV dysfunction was 1.12 for RVD/LVD (sensitivity: 89.8%, specificity: 77.4%) and 19.5 for PA clot load (sensitivity: 81.6%, specificity: 77.4%).Conclusions: RVD/LVD, PA clot load, contrast reflux to IVC, and VSB on CTPA were significantly associated with RV dysfunction and cardiac biomarkers in APE. The present study demonstrated that CTPA is useful not only in the diagnosis, but also in the risk stratification of APE. (Circ J 2011; 75: 428 - 436)

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confidence: 99%

Usefulness of Computed Tomographic Pulmonary Angiography in the Risk Stratification of Acute Pulmonary Thromboembolism - Comparison With Cardiac Biomarkers -

Seon

Kim

Lee

et al. 2011

Circ J

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Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis

Saleem

Fuller

2021

Annals of Vascular Surgery - Brief Reports and Innovations

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Patient Selection and Therapeutic Strategy for Emergency Percutaneous Cardiopulmonary System in Cardiopulmonary Arrest Patients

Aoyama

Imai

Kono

et al. 2009

Circ J

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Appropriate patient selection for PCPS in cases of O-CPA is likely to give a similar survival rate as for I-CPA. Patient selection and reversibility of the underlying disease and clinical state after starting PCPS affect the prognosis. Aggressive diagnosis and therapy for the underlying disease and prevention of complications associated with PCPS are essential factors in successful discharge of patients. Patients with an unknown etiology are not expected to fully recover, despite PCPS.

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Acute-on-Chronic Massive Pulmonary Embolism Treated With 3-Loop Snare

Cited by 3 publications

References 20 publications

Usefulness of Computed Tomographic Pulmonary Angiography in the Risk Stratification of Acute Pulmonary Thromboembolism - Comparison With Cardiac Biomarkers -

Usefulness of Computed Tomographic Pulmonary Angiography in the Risk Stratification of Acute Pulmonary Thromboembolism - Comparison With Cardiac Biomarkers -

Aspiration mechanical thrombectomy for treatment of acute iliofemoral and central deep venous thrombosis

Patient Selection and Therapeutic Strategy for Emergency Percutaneous Cardiopulmonary System in Cardiopulmonary Arrest Patients

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