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急性肺栓塞中的干预疗法-目前的趋势和未来的方向
Sajal Patel1, Narayanan Thulasidasan1, Benedict Thomson1
1Department of Interventional Radiology, Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom.
The British journal of radiology
|July 14, 2023
概括
本综述涵盖了急性肺栓塞 (PE) 的新兴干预疗法,急性肺栓塞是一种具有高死亡率的疾病. 它强调了对高危患者的先进治疗方法,如导管导向血栓溶解和体外膜氧化.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 干预性放射学 干预性放射学
背景情况:
- 急性肺栓塞 (PE) 是一种危及生命的疾病,死亡率高.
- 治疗选择范围从抗凝血剂到高风险的外科栓塞切除术.
- 开发干预疗法为管理PE提供了新的希望.
研究的目的:
- 审查当前和新兴的高风险和中高风险PE的干预疗法.
- 总结关于先进治疗方式的证据.
- 讨论多学科团队的作用和风险分层.
主要方法:
- 对急性PE的干预疗法的文献综述.
- 对导管导向血栓溶解,药物机械血栓溶解和血栓吸收的证据分析.
- 在PE管理中对体外膜氧化 (ECMO) 的评估.
主要成果:
- 干预疗法在管理高危PE患者方面表现有前途.
- 导管血栓溶解和药物机械血栓溶解提供有针对性的血块去除.
- 血栓吸收和ECMO提供了至关重要的支持和治疗选择.
结论:
- 干预疗法正在扩大急性PE的治疗选择.
- 多学科团队的参与和风险分层对于最佳的患者管理至关重要.
- 这些先进的技术可以改善复杂PE案件的结果.
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