ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
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2018
vol. 83
 
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abstract:
Original paper

Treatment of the acute severe pulmonary embolism using endovascular methods

Inger E. Keussen, Carina Bursjoo, Wojciech Cwikiel

© Pol J Radiol 2018; 83: e248-e252
Online publish date: 2018/06/01
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Purpose
To present a single-centre experience with endovascular treatment of patients with severe symptoms secondary to acute pulmonary embolism (PE).

Material and methods
Twenty-five patients were treated due to contraindications or deficient effects of systemic thrombolytic therapy. The patients were treated with a combination of fragmentation and aspiration, only aspiration, or only fragmentation, and with catheter-directed thrombolytic therapy.

Results
The saturation was improved following treatment in all patients, except in one where the procedure could not be completed. There were no immediate or late procedure-related complications.

Conclusions
Endovascular treatment of severe PE is a safe and efficient option in patients with failing effect or contra­indication to systemic thrombolysis.

keywords:

endovascular procedure, pulmonary embolism, embolectomy

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