Successful Treatment of Massive Pulmonary Embolism by Combined Mechanical and Thrombolytic Therapy

MARTIN SIGMUND, MICHAEL RUBART, JUERGEN VOM DAHL, RAINER UEBIS, PETER HANRATH

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

In two patients with massive pulmonary embolism and cardiogenic shock requiring mechanical ventilation and prolonged external cardiac massage, occluded pulmonary arteries were recanalized by primary mechanical fragmentation of thrombi using a percutaneously inserted catheter followed by fibrinolytic therapy. The hemodynamic and respiratory parameters rapidly and greatly improved. Pulmonary angiography before discharge revealed normal results in both patients. No central neurological abnormalities were detected. It is concluded that patients with cardiogenic shock due to massive pulmonary embolism may benefit from immediate mechanical thrombus fragmentation followed by fibrinolysis when thrombolysis or surgical embolectomy are strictly contraindicated or not available.

Original languageEnglish (US)
Pages (from-to)63-68
Number of pages6
JournalJournal of interventional cardiology
Volume4
Issue number1
DOIs
StatePublished - Mar 1991
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Successful Treatment of Massive Pulmonary Embolism by Combined Mechanical and Thrombolytic Therapy'. Together they form a unique fingerprint.

  • Cite this