First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery-Reference-Cited by-同舟云学术

First Ultrasound-Assisted Thrombolysis for Pulmonary Embolism after Lung Surgery

Published:2023-01 Issue:01 Volume:12 Page:e14-e16
ISSN:2194-7635
Container-title:The Thoracic and Cardiovascular Surgeon Reports
language:en
Short-container-title:Thorac Cardiovasc Surg Rep

Author:

Selten Koen¹,Durak Koray¹^ORCID,Kersten Alexander²,Kalverkamp Sebastian¹

Affiliation:

1. Department of Thoracic Surgery, Faculty of Medicine, RWTH Aachen University, Aachen, Nordrhein-Westfalen, Germany

2. Department of Cardiology, Angiology, and Intensive Care, Faculty of Medicine, RWTH University Hospital, Aachen, Germany

Abstract

Abstract Background Experience with early postoperative catheter-directed ultrasound-assisted thrombolysis (USAT) in high-risk pulmonary embolism (PE) is limited. A first case of USAT directly after pulmonary surgery is presented. Case Description A 60-year-old female patient with two malignancies (triple negative breast cancer and pulmonary squamous cell carcinoma) underwent video-assisted lobectomy. The second postoperative day, she developed PE with hemodynamic deterioration. Note that 24 mg of alteplase was applied by USAT. After 3 days she was successfully weaned from ventilation and vasopressors. Conclusion USAT for acute PE is possible after major pulmonary resections and seems promising if reperfusion is needed.

Publisher

Georg Thieme Verlag KG

Subject

General Engineering

Link

http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0043-1762551.pdf

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