Techniques and Devices for Catheter-Directed Therapy in Pulmonary Embolism

Bhatt, Alok A.; Al-Hakim, Ramsey; Benenati, James F.

doi:10.1053/j.tvir.2017.07.008

Cited by 12 publications

(6 citation statements)

References 10 publications

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“…Therefore, continuous ECG monitoring is mandatory throughout the procedure. Readily available temporary pacing (either percutaneous or transvenous) is indicated in patients showing a left bundle branch block on ECG prior to the intervention because wire manipulation in the right heart can cause a right bundle branch block which would result in a life-threatening, complete heart block [19]. Therefore, a preprocedural ECG is of utmost importance.…”

Section: Catheter Pulmonary Angiographymentioning

confidence: 99%

Acute Pulmonary Embolism: Imaging Techniques, Findings, Endovascular Treatment and Differential Diagnoses

Palm

Rengier

Rajiah

et al. 2019

Fortschr Röntgenstr

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Background Acute thrombotic pulmonary embolism (PE) is a common and potentially fatal event with imaging playing a pivotal role in the diagnosis and management of these patients. Method This review discusses imaging techniques, diagnostic algorithms, imaging findings and endovascular treatment of acute thrombotic PE, and illustrates important differential diagnoses relating to the spectrum of acute non-thrombotic PE and non-embolic pulmonary artery disease. The review emphasizes information relevant for everyday radiological practice and highlights recent advances that can be readily applied in the clinical routine. Results/Conclusion Computed tomography pulmonary angiography (CTPA) is the current reference standard for the diagnosis of acute PE. Ventilation and perfusion (VQ) scanning or – in centers with adequate expertise – magnetic resonance imaging (MRI) is indicated in pregnant or young patients and patients with contraindications to iodinated contrast. Invasive angiography is reserved for patients with intended endovascular treatment. Artifacts, acute non-thrombotic PE, chronic PE and non-embolic pulmonary artery diseases should always be considered as differential diagnoses. Key points: Citation Format

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Section: Catheter Pulmonary Angiographymentioning

confidence: 99%

Acute Pulmonary Embolism: Imaging Techniques, Findings, Endovascular Treatment and Differential Diagnoses

Palm

Rengier

Rajiah

et al. 2019

Fortschr Röntgenstr

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“…Традиционно для лечения массивной ЛЭ используется внутривенно вводимый рекомбинантный тканевой активатор плазминогена (tPA) -альтеплаза в дозе 100 мг в течение 2 ч [24]. В литературе имеются мнения, что в умелых руках КУТ может быть использована в качестве первой линии как альтернатива внутривенно вводимой альтеплазе, хотя пока такой подход вызывает неоднозначную оценку [25]. Согласно руководствам American College of Cardiology/American Heart Association применение катетерной эмболэктомии рассматривают при явной сердечно-легочной недостаточности или при субмассивной ЛЭ, когда у пациентов имеются клинические признаки неблагоприятного прогноза.…”

Section: тяжести легочной эмболииunclassified

“…Простая вакуумная аспирационная тромбэктомия -достаточно легкий механический вариант, предусматривающий использование катетера с отверстием на конце [25]. Концевое отверстие направлено в тромб и ручное всасывание обеспечивается с помощью катетера и объемного шприца.…”

Section: аспирационная тромбэктомияunclassified

“…7В). Затем диски освобождаются с помощью отводящего аспирационного устройства, которое координирует механическое удаление сгустка через FlowTriever и аспирацию тромба через направляющий катетер в аппарат (третий компонент) [25].…”

Section: аспирационная тромбэктомияunclassified

“…After 14 hours (C), there is significantly decreased clot burden in the left pulmonary artery. Adopted from A.Bhatt et al (2017)[25].…”

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The Role of Interventional Methods in Treatment of Pulmonary Embolism

et al. 2018

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The presented review concerns to current interventional methods of acute pulmonary embolism treatment. The article provides a rationale for catheter approaches, detailed description of patient selection and risk stratification including an estimation of thromboembolic burden, risk degree of acute pulmonary embolism, bleeding risk assessment, and patient-specific considerations. The review contains the up-to-date classification of pulmonary embolism on the basis of 30-day mortality assessment and estimation of disease outcome according to the conventional and simplified Pulmonary Embolism Severity Index. A special attention is paid to interventional methods peculiarly, in particular to catheter directed thrombolysis, rheolytic thrombectomy, thrombus fragmentation and aspiration. The results of studies concerning efficiency and safety of endovascular methods in treatment of pulmonary embolism patients are reported. It was emphasized importance of further investigation of various clinical aspects using these methods for obtaining of comprehensive information about treatment of the dangerous disease associated with significant morbidity and mortality.

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