Successful percutaneous thrombectomy in an elderly patient with massive pulmonary embolism with cardiogenic shock.
Successful percutaneous thrombectomy in an elderly patient with massive pulmonary embolism with cardiogenic shock.
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成功为一名伴有心源性休克的大面积肺栓塞老年患者进行经皮血栓切除术。
DOI：
10.1007/s12928-013-0194-8
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发表时间：
2014
影响因子：
3.2
通讯作者：
Takahashi T.
中科院分区：
文献类型：
--
作者：
Numasawa Y;Motoda H;Yamazaki H;Kuno T;Hashimoto O;Takahashi T.
我们报告了一位80岁的女性，由于大面积肺栓塞而导致心源性休克，使用传统的血管造影导丝和导管联合全身溶栓成功地进行了经皮血栓切除术。我们在没有呼吸机或体外生命支持的情况下成功地治疗了患者。我们报告，经皮血栓切除术可以提供快速改善血流动力学不稳定，并可以作为一种有效的辅助治疗全身溶栓的大面积肺栓塞患者。对于合并心源性休克的大面积肺栓塞患者，经皮血栓切除术是一种创伤较小且合理的外科取栓术替代方法。
We report on an 80-year-old woman with cardiogenic shock due to massive pulmonary embolism who was successfully treated with percutaneous thrombectomy using a conventional angiographic guide wire and catheters combined with systemic thrombolysis. We successfully treated the patient without a ventilator or extracorporeal life support. We report that percutaneous thrombectomy can provide rapid improvement of hemodynamic instability and can be used as an effective adjuvant therapy for systemic thrombolysis in patients with massive pulmonary embolism. Percutaneous thrombectomy is a less invasive and reasonable alternative to surgical embolectomy for patients with massive pulmonary embolism with cardiogenic shock.