Successful treatment of massive pulmonary embolism with prolonged catheter-directed thrombolysis.
Affiliation
Department of Cardiology, Cork University Hospital, Wilton, Cork, Ireland., peterjwkelly50@hotmail.comIssue Date
2012-02-03T15:05:32ZMeSH
CatheterizationEchocardiography
Electrocardiography
Female
Fibrinolytic Agents/administration & dosage/*therapeutic use
Humans
Pulmonary Embolism/diagnosis/*drug therapy
Thrombolytic Therapy/*methods
Tomography, X-Ray Computed
Urokinase-Type Plasminogen Activator/administration & dosage/*therapeutic use
Ventricular Dysfunction, Right/diagnosis/*drug therapy
Metadata
Show full item recordCitation
Heart Vessels. 2006 Mar;21(2):124-6.Journal
Heart and vesselsDOI
10.1007/s00380-005-0838-4PubMed ID
16550314Abstract
This is a case report of a young woman who presented with an extensive pulmonary embolism and echocardiographic evidence of right ventricular dysfunction. Although hemodynamically stable, the patient's clinical condition failed to improve with standard heparin anticoagulation. Successful local catheter-directed thrombolysis was performed over an extended period of 48 h with regular monitoring of response to therapy by computed tomography-pulmonary angiography and echocardiography. To our knowledge, treatment of a pulmonary embolism by catheter-directed thrombolytic infusion over an extended period of 48 h has not previously been described.Language
engISSN
0910-8327 (Print)0910-8327 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s00380-005-0838-4