Successful treatment of massive pulmonary embolism by combined mechanical and thrombolytic therapy.

M. Sigmund, Michael Rubart-von der Lohe, J. Vom Dahl, R. Uebis, P. Hanrath

Research output: Contribution to journalArticle

10 Citations (Scopus)

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
StatePublished - 1991
Externally publishedYes

Fingerprint

Thrombolytic Therapy
Pulmonary Embolism
Cardiogenic Shock
Thrombosis
Heart Massage
Embolectomy
Fibrinolysis
Artificial Respiration
Pulmonary Artery
Angiography
Therapeutics
Catheters
Hemodynamics
Lung

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Successful treatment of massive pulmonary embolism by combined mechanical and thrombolytic therapy. / Sigmund, M.; Rubart-von der Lohe, Michael; Vom Dahl, J.; Uebis, R.; Hanrath, P.

In: Journal of Interventional Cardiology, Vol. 4, No. 1, 1991, p. 63-68.

Research output: Contribution to journalArticle

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