Endovascular treatment of pulmonary embolism: Selective review of available techniques

• 作者: Arjun Patel Christopher Gribbin John L Nosher Sugeet Jagpal Vyacheslav Gendel
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 年，卷（期）: 2017,（12）
• 页码范围: 426-437
• 页数: 12页
• 分类号: R563.5

摘要

Acute pulmonary embolism(PE) is the third most common cause of death in hospitalized patients. The development of sophisticated diagnostic and therapeutic modalities for PE, including endovascular therapy, affords a certain level of complexity to the treatment of patients with this important clinical entity. Furthermore, the lack of level I evidence for the safety and effectiveness of catheter directed therapy brings controversy to a promising treatment approach. In this review paper, we discuss the pathophysiology and clinical presentation of PE, review the medical and surgical treatment of the condition, and describe in detail the tools that are available for the endovascular therapy of PE, including mechanical thrombectomy, suction thrombectomy, and fibrinolytic therapy. We also review the literature available to date on these methods, and describe the function of the Pulmonary Embolism Response Team.