Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report

Pulmonary embolism (PE) remains a common and potentially life-threatening cardiovascular emergency. Systemic thrombolysis with intravenous infusion of a thrombolytic agent is generally recommended for treatment of high risk PE. However, this method has known limitations in the presence of high bleed...

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Main Authors: Bajka Balázs, Benedek Edvin, Stănescu Alexandra, Rapolti Emese, Chițu Monica, Kovács István
Format: Article
Language:English
Published: Sciendo 2016-03-01
Series:Journal of Cardiovascular Emergencies
Subjects:
Online Access:https://doi.org/10.1515/jce-2016-0007
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author Bajka Balázs
Benedek Edvin
Stănescu Alexandra
Rapolti Emese
Chițu Monica
Kovács István
author_facet Bajka Balázs
Benedek Edvin
Stănescu Alexandra
Rapolti Emese
Chițu Monica
Kovács István
author_sort Bajka Balázs
collection DOAJ
description Pulmonary embolism (PE) remains a common and potentially life-threatening cardiovascular emergency. Systemic thrombolysis with intravenous infusion of a thrombolytic agent is generally recommended for treatment of high risk PE. However, this method has known limitations in the presence of high bleeding risk. Catheter-directed thrombolysis has the potential to achieve the same benefits as systemic thrombolysis, with a lower risk of haemorrhage. The case presented is of a 67-year-old male patient with a high risk of pulmonary embolism and contraindications for systemic thrombolysis, in whom the presence of severe comorbidities presented an increased risk of surgical embolectomy, who was successfully treated by catheter-directed thrombolysis.
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spelling doaj.art-303300f2883e466982408b8757ae5fc42022-12-22T03:13:46ZengSciendoJournal of Cardiovascular Emergencies2457-55182016-03-0121374210.1515/jce-2016-0007Treatment Difficulties in High Risk Pulmonary Embolism. A Case ReportBajka Balázs0Benedek Edvin1Stănescu Alexandra2Rapolti Emese3Chițu Monica4Kovács István5Clinic of Cardiology, University of Medicine and Pharmacy of Tirgu Mures, Romania, 38 Gheorghe Marinescu St, 540139Center of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, Romania 76, 22 decembrie 1989 St 540124Center of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, Romania, 76, 22 Decembrie 1989 St, 540124Clinic of Cardiology, University of Medicine and Pharmacy of Tirgu Mures, Romania, 38 Gheorghe Marinescu St, 540139Clinic of Cardiology, University of Medicine and Pharmacy of Tirgu Mures, Romania, 38 Gheorghe Marinescu St, 540139 38Clinic of Cardiology, University of Medicine and Pharmacy of Tirgu Mures, Romania, 38 Gheorghe Marinescu St, 540139Pulmonary embolism (PE) remains a common and potentially life-threatening cardiovascular emergency. Systemic thrombolysis with intravenous infusion of a thrombolytic agent is generally recommended for treatment of high risk PE. However, this method has known limitations in the presence of high bleeding risk. Catheter-directed thrombolysis has the potential to achieve the same benefits as systemic thrombolysis, with a lower risk of haemorrhage. The case presented is of a 67-year-old male patient with a high risk of pulmonary embolism and contraindications for systemic thrombolysis, in whom the presence of severe comorbidities presented an increased risk of surgical embolectomy, who was successfully treated by catheter-directed thrombolysis.https://doi.org/10.1515/jce-2016-0007pulmonary embolismthrombolysisembolectomy
spellingShingle Bajka Balázs
Benedek Edvin
Stănescu Alexandra
Rapolti Emese
Chițu Monica
Kovács István
Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report
Journal of Cardiovascular Emergencies
pulmonary embolism
thrombolysis
embolectomy
title Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report
title_full Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report
title_fullStr Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report
title_full_unstemmed Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report
title_short Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report
title_sort treatment difficulties in high risk pulmonary embolism a case report
topic pulmonary embolism
thrombolysis
embolectomy
url https://doi.org/10.1515/jce-2016-0007
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AT stanescualexandra treatmentdifficultiesinhighriskpulmonaryembolismacasereport
AT rapoltiemese treatmentdifficultiesinhighriskpulmonaryembolismacasereport
AT chitumonica treatmentdifficultiesinhighriskpulmonaryembolismacasereport
AT kovacsistvan treatmentdifficultiesinhighriskpulmonaryembolismacasereport