Entrar/Registro  
HOME SPANISH
 
Medicina Crítica
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Medicina Crítica >Year 2009, Issue 4


Bourlon CRA, Bourlon RC, Martínez MJ, Pérez PI, Vera UR, Herrera AV
Massive pulmonary thromboembolism: case report, management and literature review
Rev Asoc Mex Med Crit y Ter Int 2009; 23 (4)

Language: Español
References: 23
Page: 234-240
PDF: 304.53 Kb.


Full text




ABSTRACT

Massive pulmonary embolism is an often fatal entity in which an early diagnosis and treatment are essential to reduce mortality. The most common criterion to make the diagnosis is arterial hypotension and cardiogenic shock, but the clinical presentation is often variable and non specific. The initial management of every patient in whom we have the clinical suspicion, is the hemodynamic and respiratory support and the assessment to decide the beginning of anticoagulation therapy. The therapeutic alternatives include thrombolysis and embolectomy, there are different parameters that can guide our decision, but it is important to individualize our decision to every case.


Key words: Massive pulmonary embolism, embolectomy, thrombolysis.


REFERENCIAS

  1. Horlander KT, Mannino DM et al. Pulmonary embolism mortality in the United States 1979-1998: an analysis using multiple-cause mortality data. Arch Intern Med 2003;163:1711.

  2. Carson JL, Kelley MA et al. The clinical course of pulmonary embolism. N Engl J Med 1992;326:1240.

  3. Tapson VF. Acute pulmonary embolism. N Engl J Med 2008;358:1037.

  4. Kucher N, Goldhaber SZ. Management of massive pulmonary embolism. Circulation 2005;112:e28.

  5. Guidelines on diagnosis and management of acute pulmonary embolism. Task Force on Pulmonary Embolism, European Society of Cardiology. Eur Heart J 2000;21:1301.

  6. Kucher N, Rossi E et al. Massive Pulmonary Embolism. Circulation 2006;113:577-582.

  7. Goldhaber SZ. Pulmonary embolism. Lancet 2004;363: 1295-1305.

  8. Kucher N, Walpoth N et al. QR in V1: an ECG sign associated with right ventricular strain and adverse clinical outcome in pulmonary embolism. Eur Heart J 2003;24:1113-1119.

  9. Pruszczyk P, Torbicki A et al. Diagnostic value of transoesophageal echocardiography in suspected hemodynamically significant pulmonary embolism. Heart 2001;85:628-634.

  10. Schoepf UJ, Kucher N et al. Right ventricular enlargement on chest computed tomography: a predictor of early death in acute pulmonary embolism. Circulation 2004;110:3276-3280.

  11. Schulman S, Beyth RJ et al. Hemorrhagic complications of anticoagulant and thrombolytic treatment: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008;133 Suppl 6:257.

  12. Mercat A, Diehl JL et al. Hemodynamic effects of fluid loading in acute massive pulmonary embolism. Crit Care Med 1999;27:540-544.

  13. Wood KE. Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 2002;121:877-905.

  14. Lambermont B et al. Levosimendan: Right for the right ventricle? Crit Care Med 2007;35(8):1995-6.

  15. Parissis J, Bistola V et al. Effects of levosimendan on right ventricular function in patients with advanced heart failure. Am J Cardiol 2006;98:1489-1492).

  16. Leather HA, Ver Eycken K et al. Effects of levosimendan on right ventricular function and ventriculovascular coupling in open chest pigs. Crit Care Med 2003;31:2339-2343.

  17. Slawsky MT, Colucci WS et al. Acute hemodynamic and clinical effects of levosimendan in patients with severe heart failure. Circulation 2000;102:2222-2227.

  18. Buller HR, Agnelli G et al. Antithrombotic therapy for venous thromboembolic disease: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 2004;126:401S-428S.

  19. Wan S, Quinlan DJ et al. Thrombolysis compared with heparin for the initial treatment of pulmonary embolism: a meta-analysis of the randomized controlled trials. Circulation 2004;110:744-749.

  20. Decousus H, Leizorovicz A et al. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis. N Engl J Med 1998;338:409.

  21. Aklog L, Williams CS et al. Acute pulmonary embolectomy: a contemporary approach. Circulation 2002;105:1416-1419.

  22. Uflacker R. Interventional therapy for pulmonary embolism. J Vasc Interv Radiol 2001;12:147-164.

  23. Schmitz-Rode T, Janssens U et al. Massive pulmonary embolism: percutaneous emergency treatment by pigtail rotation catheter. J Am Coll Cardiol 2000;36:375-380.






>Journals >Medicina Crítica >Year 2009, Issue 4
 

· Journal Index 
· Links 






       
Copyright 2019