Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism
High-risk pulmonary embolism (PE) is a complex clinical entity associated with high mortality rates. Ultrasound-assisted, catheter-directed thrombolysis, typically used for intermediate-risk PE, may be a viable treatment approach for high-risk PE, particularly in patients at increased risk for major...
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The Texas Heart Institute
2024-02-01
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Series: | Texas Heart Institute Journal |
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Online Access: | https://meridian.allenpress.com/thij/article-pdf/doi/10.14503/THIJ-23-8235/3323957/i1526-6702-51-1-e238235.pdf |
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author | Karam P. S. Gill, MD Daniel P. O’Brien, MD Jonathan E. Soverow, MD |
author_facet | Karam P. S. Gill, MD Daniel P. O’Brien, MD Jonathan E. Soverow, MD |
author_sort | Karam P. S. Gill, MD |
collection | DOAJ |
description | High-risk pulmonary embolism (PE) is a complex clinical entity associated with high mortality rates. Ultrasound-assisted, catheter-directed thrombolysis, typically used for intermediate-risk PE, may be a viable treatment approach for high-risk PE, particularly in patients at increased risk for major bleeding. This report describes a case in which ultrasound-assisted, catheter-directed thrombolysis was successfully used to treat high-risk PE in a female patient with extensive peritoneal metastases from gastric adenocarcinoma. Other examples from the literature, in which ultrasound-assisted, catheter-directed thrombolysis was used to treat high-risk PE, are also provided. |
first_indexed | 2024-04-24T11:50:15Z |
format | Article |
id | doaj.art-83c909b6230a44b5ac69080e5eca6bbe |
institution | Directory Open Access Journal |
issn | 1526-6702 |
language | English |
last_indexed | 2024-04-24T11:50:15Z |
publishDate | 2024-02-01 |
publisher | The Texas Heart Institute |
record_format | Article |
series | Texas Heart Institute Journal |
spelling | doaj.art-83c909b6230a44b5ac69080e5eca6bbe2024-04-09T08:07:50ZengThe Texas Heart InstituteTexas Heart Institute Journal1526-67022024-02-015111710.14503/THIJ-23-8235i1526-6702-51-1-e238235Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary EmbolismKaram P. S. Gill, MD0Daniel P. O’Brien, MD1Jonathan E. Soverow, MD21 Department of Internal Medicine, Olive View–University of California Los Angeles Medical Center, Sylmar, California2 Department of Cardiology, Olive View–University of California Los Angeles Medical Center, Sylmar, California2 Department of Cardiology, Olive View–University of California Los Angeles Medical Center, Sylmar, CaliforniaHigh-risk pulmonary embolism (PE) is a complex clinical entity associated with high mortality rates. Ultrasound-assisted, catheter-directed thrombolysis, typically used for intermediate-risk PE, may be a viable treatment approach for high-risk PE, particularly in patients at increased risk for major bleeding. This report describes a case in which ultrasound-assisted, catheter-directed thrombolysis was successfully used to treat high-risk PE in a female patient with extensive peritoneal metastases from gastric adenocarcinoma. Other examples from the literature, in which ultrasound-assisted, catheter-directed thrombolysis was used to treat high-risk PE, are also provided.https://meridian.allenpress.com/thij/article-pdf/doi/10.14503/THIJ-23-8235/3323957/i1526-6702-51-1-e238235.pdfpulmonary embolismtissue plasminogen activatorultrasonography, interventional |
spellingShingle | Karam P. S. Gill, MD Daniel P. O’Brien, MD Jonathan E. Soverow, MD Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism Texas Heart Institute Journal pulmonary embolism tissue plasminogen activator ultrasonography, interventional |
title | Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism |
title_full | Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism |
title_fullStr | Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism |
title_full_unstemmed | Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism |
title_short | Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism |
title_sort | use of ultrasound assisted catheter directed thrombolysis in a patient with high risk pulmonary embolism |
topic | pulmonary embolism tissue plasminogen activator ultrasonography, interventional |
url | https://meridian.allenpress.com/thij/article-pdf/doi/10.14503/THIJ-23-8235/3323957/i1526-6702-51-1-e238235.pdf |
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