Can the Pulmonary Embolism Severity Index (PESI) be used as a clinical tool prior to catheter directed pulmonary artery thrombolysis?

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Pulmonary Embolism Severity Index (PESI) and Simplified PESI

REFERENCES 1 Moores L, Zamarro C, Gómez V, et al. Changes in PESI score predict mortality in intermediate-risk patients with acute pulmonary embolism. Eur Respir J 2013; 41: 354–359. 2 Aujesky D, Smith KJ, Cornuz J, et al. Cost-effectiveness of lowmolecular-weight heparin for treatment of pulmonary embolism. Chest 2005; 128: 1601–1610. 3 Erkens PM, Gandara E, Wells PS, et al. Does the Pulmonary...

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Pulmonary artery catheter-directed thrombolysis for intermediate high risk acute pulmonary embolism

A case of 60-year-old male with acute pulmonary embolism without hypotension but signs of right ventricular dysfunction and elevated cardiac biomarkers is reported in this study. The patient comes under intermediate high-risk category and was successfully thrombolysed with alteplase infused through pulmonary artery catheter. Catheter-directed thrombolysis (CDT) can be considered as much safer a...

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Association between the Pulmonary Embolism Severity Index (PESI) and short-term clinical deterioration.

The Pulmonary Embolism Severity Index (PESI) has been shown to predict 30 and 90 day mortality after PE. However, whether the PESI predicts patients who will be free of clinically adverse outcomes during a typical hospitalisation is not known. Retrospective analysis of Emergency Department patients with PE from May 2006 to April 2008. We compiled demographics, data to calculate the PESI and a c...

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Ultrasound-assisted catheter-directed thrombolysis for pulmonary embolism

We have read through the case report article with great interest, entitled “Combined catheter thrombus fragmentation and percutaneous thrombectomy in a patient with massive pulmonary emboli and acute cerebral infarct,” by Uğurlu et al. (1) and published in Anatol J Cardiol 2015; 15: 69-74. For the last two years, ultrasound-assisted catheter-directed thrombolytic (USAT) has been used as an alte...

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Pulmonary thromboembolism (PTE) is a fatal condition that may rarely occur due to complications of coronary catheter insertion. In this case report, a 41-year-old male was presented 48 hours after radiofrequency catheter ablation(RFCA) for the management of Wolf-Parkinson-White syndromewith acute onset of dyspnea, hemoptysis, and chest pain. The physical examination revealed coarse crackles in ...

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ژورنال

عنوان ژورنال: Journal of Vascular and Interventional Radiology

سال: 2017

ISSN: 1051-0443

DOI: 10.1016/j.jvir.2016.12.1205