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La radiologia medica

, Volume 123, Issue 5, pp 338–344 | Cite as

Agitation thrombolysis and catheter-directed thrombolysis for normotensive patients with acute pulmonary thromboembolism

  • Yonghua Bi
  • Zepeng Yu
  • Xinwei Han
  • Jianzhuang Ren
CHEST RADIOLOGY
  • 91 Downloads

Abstract

Objective

To assess the feasibility, efficacy, and safety of agitation thrombolysis and catheter-directed thrombolysis (AT–CDT) in the treatment of normotensive patients with acute pulmonary thromboembolism (PTE).

Methods

A total of 37 consecutive patients of normotensive PTE were treated by AT–CDT between October 2011 and January 2016. Clinical outcomes and mortality were evaluated after the treatment, and follow-up was carried out after hospital discharge.

Results

AT–CDT was technically successful in 93.7% (36/37) patients, with one case died from respiratory failure during procedure. The clinical success rate was 91.9% (34/37), one patient died from intracranial hemorrhage 9 days after agitation, and one case showed no improvement. A total of 83.8% (31/37) cases were clinical cured and 8.1% (3/37) cases were relieved during hospitalization. Three cases died of respiratory failure caused by PTE, and two cases died of diseases unrelated to PTE (lung carcinoma/hemoptysis) during a 20–1524 days of follow-up.

Conclusion

AT–CDT may be a feasible, effective, and safe treatment for normotensive patients with acute PTE.

Keywords

Pulmonary thromboembolism Agitation thrombolysis Catheter-directed thrombolysis Thrombolysis Follow-up 

Notes

Funding

This work was supported by the National Natural Science Foundation of China (Grant No. 81501569) and the National 863 Plan of China (Grant 2015AA020301). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.

Compliance with ethical standards

Conflict of interest

The authors who have taken part in this study declared that they do not have anything to disclose regarding funding or conflict of interest with respect to this manuscript.

Ethical approval

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Italian Society of Medical Radiology 2017

Authors and Affiliations

  1. 1.Department of Interventional RadiologyThe First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina
  2. 2.Interventional Institute of Zhengzhou UniversityZhengzhouChina
  3. 3.Interventional Therapy and Clinical Research Center of Henan ProvinceZhengzhouChina

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