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[Pulmonary thromboembolism]

Iu F Neklasov, S L Antonov

    Vestnik Rentgenologii I Radiologii
    |September 1, 1996
    PubMed
    Summary
    This summary is machine-generated.

    Pulmonary thromboembolism (PTE) treatment strategies were analyzed in 151 patients. Fibrinolysis is preferred for massive PTE, while heparin effectively treats mild PTE, improving patient outcomes.

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    Area of Science:

    • Cardiology
    • Pulmonology
    • Vascular Medicine

    Background:

    • Pulmonary thromboembolism (PTE) diagnosis and treatment require optimized strategies.
    • Angiographically verified PTE impacts patient outcomes significantly.

    Purpose of the Study:

    • To analyze diagnostic and therapeutic policies for patients with pulmonary thromboembolism (PTE).
    • To evaluate the effectiveness of different treatments based on PTE severity.

    Main Methods:

    • Retrospective analysis of 151 patients with suspected PTE.
    • Diagnosis confirmed via angiopulmonography.
    • Treatment strategies included fibrinolysis and heparin therapy.

    Main Results:

    • PTE confirmed in 138 patients: 44 acute (massive/submassive), 22 mild, 72 chronic.

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  • Massive PTE group: mortality 29.5%, elevated pulmonary systolic pressure (56.2 mmHg).
  • Mild PTE group: full recovery with heparin therapy, minimal residual index (1.4).

    • Conclusions:

    • Fibrinolysis is the primary treatment for massive PTE; high-dose heparin can also be effective.
    • Heparin therapy is effective for mild PTE, ensuring blood flow recovery.
    • Treatment efficacy in acute PTE depends on circulatory/hemodynamic severity and timely intervention.