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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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
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author Selten, Koen
Durak, Koray
Kersten, Alexander
Kalverkamp, Sebastian
author_facet Selten, Koen
Durak, Koray
Kersten, Alexander
Kalverkamp, Sebastian
author_sort Selten, Koen
collection PubMed
description 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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spelling pubmed-99885172023-03-08 First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery Selten, Koen Durak, Koray Kersten, Alexander Kalverkamp, Sebastian Thorac Cardiovasc Surg Rep 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. Georg Thieme Verlag KG 2023-03-06 /pmc/articles/PMC9988517/ /pubmed/36895517 http://dx.doi.org/10.1055/s-0043-1762551 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Selten, Koen
Durak, Koray
Kersten, Alexander
Kalverkamp, Sebastian
First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery
title First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery
title_full First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery
title_fullStr First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery
title_full_unstemmed First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery
title_short First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery
title_sort first ultrasound-assisted thrombolysis for pulmonary embolism after lung surgery
url 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
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