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Catheter-directed interventions for pulmonary embolism.

Mehrzad Zarghouni1, Hearns W Charles2, Thomas S Maldonado3

  • 1Department of Interventional Radiology, Memorial Hermann Memorial City, Houston, TX, USA.

Cardiovascular Diagnosis and Therapy
|January 27, 2017
PubMed
Summary
This summary is machine-generated.

Pulmonary embolism (PE) treatment may involve catheter-directed interventions (CDI) when anticoagulation is insufficient for right ventricular dysfunction (RVD). This review details percutaneous techniques and supporting evidence for PE management.

Keywords:
Angiographypulmonary embolism (PE)thrombolytic therapy

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Area of Science:

  • Cardiology
  • Interventional Radiology
  • Pulmonary Medicine

Background:

  • Pulmonary embolism (PE) is a serious condition requiring diverse treatment modalities.
  • Anticoagulation alone may not resolve right ventricular dysfunction (RVD) in PE patients.
  • High risks of surgical embolectomy have increased interest in less invasive options.

Purpose of the Study:

  • To review current catheter-directed intervention (CDI) techniques for pulmonary embolism.
  • To present evidence supporting percutaneous treatments for PE, particularly in RVD.
  • To highlight the resurgence of clinical interest in minimally invasive PE therapies.

Main Methods:

  • Review of specific catheter-directed techniques used in percutaneous PE treatment.
  • Analysis of existing evidence supporting the efficacy and safety of these interventions.
  • Discussion of patient selection and procedural considerations for CDI in PE.

Main Results:

  • Catheter-directed interventions offer an alternative treatment for PE.
  • Evidence supports the use of percutaneous methods, especially when RVD is present.
  • CDI may mitigate risks associated with traditional surgical embolectomy.

Conclusions:

  • Catheter-directed interventions are a viable and increasingly important treatment option for pulmonary embolism.
  • These percutaneous techniques provide an alternative for patients with right ventricular dysfunction.
  • Further research and standardization of CDI techniques are warranted for optimal PE management.