First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery

Background  Experience with early postoperative catheter-directed ultrasound-assisted thrombolysis (USAT) in high-risk pulmonary embolism (PE) is limited. A first case of USAT directly after pulmonary surgery is presented. Case Description  A 60-year-old female patient with two malignancies (triple...

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Detalles Bibliográficos
Autores principales: Selten, Koen, Durak, Koray, Kersten, Alexander, Kalverkamp, Sebastian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9988517/
https://www.ncbi.nlm.nih.gov/pubmed/36895517
http://dx.doi.org/10.1055/s-0043-1762551
Descripción
Sumario:Background  Experience with early postoperative catheter-directed ultrasound-assisted thrombolysis (USAT) in high-risk pulmonary embolism (PE) is limited. A first case of USAT directly after pulmonary surgery is presented. Case Description  A 60-year-old female patient with two malignancies (triple negative breast cancer and pulmonary squamous cell carcinoma) underwent video-assisted lobectomy. The second postoperative day, she developed PE with hemodynamic deterioration. Note that 24 mg of alteplase was applied by USAT. After 3 days she was successfully weaned from ventilation and vasopressors. Conclusion  USAT for acute PE is possible after major pulmonary resections and seems promising if reperfusion is needed.

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