Outcomes of catheter-directed interventions in high-risk pulmonary embolism-a retrospective analysis.

ABSTRACT:

Background

First-line treatment of high-risk pulmonary embolism with persistent hypotension and/or signs of shock is intravenous thrombolysis. However, if thrombolysis is contraindicated due to risk of serious bleeding, or if it yields insufficient effect, surgical thrombectomy or catheter-directed intervention (CDI) plus anticoagulation is recommended. The aim of this study was to assess the outcomes of the CDI modality introduced in a tertiary referral centre in 2013.

Methods

Retrospective comparison between patients treated with CDI plus anticoagulation (n = 22) and patients treated with anticoagulation only (n = 23) as used before the CDI technique was available. The main outcomes of interest were 90-day survival and reduction of right to left ventricle diameter (RV/LV)

SUBMITTER: Einarsson F 

PROVIDER: S-EPMC7986106 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature