Skip to main content
  • 165 Accesses

Abstract

Pulmonary embolism (PE) is a frequent event, especially in certain patient groups, and carries a high mortality rate in affected individuals (1). It has been estimated that early diagnosis and start of an adequate therapeutic regimen is responsible for a 50% reduction of immediate mortality (2). Acute PE, untreated, causes approximately 30% mortality, of which about one third of deaths occurring within the first hour. Immediate death is essentially due to massive embolism causing critical obstruction of the pulmonary arterial bed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bell MR, Smith TL (1982) Current status of pulmonary thromboembolic disease: pathophysiology, diagnosis, prevention and treatment. Am Heart J 103:239–244

    Article  PubMed  CAS  Google Scholar 

  2. Dalen JE, Alpert JS (1975) Natural history of pulmonary embohsm. Prog Cardiovasc Dis 17: 259–272

    Article  PubMed  CAS  Google Scholar 

  3. Dalla Volta S (1988) La tromboemboha polmonare. Giornale di Clinica Medica 12:723–731

    Google Scholar 

  4. Lilienfeld DE, Chan E, Ehland J, Godbold JH, Landrigan PJ, Marsh G (1990) Mortality from pulmonary embohsm in the United States: 1962 to 1984. Chest 98:1067–1072

    Article  PubMed  CAS  Google Scholar 

  5. Mant MJ, Thong KL, Kirtwhistle RV et al (1977) Hemorrhagic complications of heparin therapy. Lancet 1:1133–1139

    Article  PubMed  CAS  Google Scholar 

  6. PIOPED investigators (1990) Value of ventilarion-perfusion scan in acute pulmonary embolism. JAMA 263:2753–2759

    Article  Google Scholar 

  7. Feltrin GP, Torraco A, Savastano S, Chiesura-Corona M, Miotto D (1993) Diagnostic imaging of pulmonary embohsm. Rays 18:272–286

    PubMed  CAS  Google Scholar 

  8. Newman GE (1989) Pulmonary angiography in pulmonary embolic disease. J Thorac Imag 4: 28–35

    Article  CAS  Google Scholar 

  9. Quinn HF, Lundell CJ, Klotz TA et al (1987) Reliability of selective pulmonary arteriography in the diagnosis of pulmonary embolism. AJR 149:469–471

    PubMed  CAS  Google Scholar 

  10. Müsset D, Rosso J, Petitpretz P et al (1988) Acute pulmonary embolism: diagnostic value of digital subtraction angiography. Radiology 166:455–459

    PubMed  Google Scholar 

  11. Bookstein JJ, Silver TM (1974) The angiographic differential diagnosis of acute pulmonary embohs. Radiology 110:25–33

    PubMed  CAS  Google Scholar 

  12. Mills SR, Jackson DC, Older RA et al (1980) The incidence, etiologies and avoidance of complications of pulmonary angiography in a large series. Radiology 136:295–297

    PubMed  CAS  Google Scholar 

  13. Remy-Jardin M, Remy J, Wattinne L, Giraud F (1992) Central pulmonary thromboembolism: diagnosis with spiral volumetric TC with the single-breath-hold technique. Comparison with pulmonary angiography. Radiology 185:381–387

    PubMed  CAS  Google Scholar 

  14. Hyers TM, Hull RD, Weg JG (1989) Antithrombotic therapy for thromboembolic disease. Chest 95(S):375–381

    Article  Google Scholar 

  15. Leeper KV, Popovich J, Lesser BA et al (1988) Treatment of massive acute pulmonary embohsm. Chest 93:234–240

    Article  PubMed  Google Scholar 

  16. Vujic I, Young JR, Gobien RP et al (1983) Massive pulmonary embolism: treatment with full heparinization and topical low-dose streptokinase. Radiology 148:671–675

    PubMed  CAS  Google Scholar 

  17. Feltrin GP, Pramstraller C, Fiore D et al (1980) Frammentazione degli emboli polmonari. Radiol Med 66:793–798

    PubMed  CAS  Google Scholar 

  18. McCowan TC, Eidt JF, Ferris EJ (1989) Interventions in pulmonary embolism. J Thorac Imag 4:67–74

    Article  CAS  Google Scholar 

  19. Schmitz-Rode T, Gunther RW (1991) New device for percutaneous fragmentation of pulmonary emboh. Radiology 180:135–137

    PubMed  CAS  Google Scholar 

  20. Harrison’s (1988) Principles of internal medicine. McGraw Hill, New York

    Google Scholar 

  21. Vaughn BK, Knezevich S, Lombardi AV, Mallory TH (1989) Use of the Greenfield filter to prevent fatal pulmonary embolism associated with total hip and knee arthroplasty. J Bone and Joint Surg 71A: 1542–1547

    Google Scholar 

  22. Pais SO, Mirvis SE, De Orchis DF (1987) Percutaneous insertion of the Kimray-Greenfield filter: technical considerations and problems. Radiology 165:377–381

    PubMed  CAS  Google Scholar 

  23. Millward SF, Marsh JI, Peterson RA et al (1991) LGM (Vena Tech) vena cava filter: clinical experience in 64 pafients. JVIR 2:429–435

    Article  PubMed  CAS  Google Scholar 

  24. Jones TK, Barnes RW, Greenfield LJ (1986) Greenfield vena caval filter: rafionale and current indications. Ann Thorac Surg 42 [Suppl]:S48-S55

    Article  PubMed  CAS  Google Scholar 

  25. Mobbin-Uddin K, McLean R, Bolooki H, Jude J (1969) Caval interruption for prevenfion of pulmonary embohsm. Arch Surg 99:711–715

    Article  Google Scholar 

  26. Yune HY (1989) Inferior vena cava filter: search for an ideal device. Radiology 172:15–16

    PubMed  CAS  Google Scholar 

  27. Epstein DH, Darcy MD, Hunter DW, Coleman CC, Tadavarthy SM, Murray PD, Castaneda- Zuniga WR (1989) Experience with the Amplatz retrievable vena cava filter. Radiology 172: 105–110

    PubMed  CAS  Google Scholar 

  28. Castañeda F, Herrera M, Cragg AH, Salamonowitz E, Lund G, Castaneda-Zuniga WR, Amplatz K (1983) Migration of a Kimray-Greenfield filter to the right ventricle. Radiology 149:690

    PubMed  Google Scholar 

  29. Roehm F, Gianturco H, Barth C, Wright (1984) Percutaneous transcatheter filter for the inferior vena cava. Radiology 150:255–257

    PubMed  Google Scholar 

  30. Messmer JM, Greenfield (1985) Greenfield caval filters: long-term radiographic follow-up study. Radiology 156:613–618

    PubMed  CAS  Google Scholar 

  31. Geisinger MA, Zelch MG, Risius B (1987) Recurrent pulmonary emboHsm after Greenfield filter placement. Radiology 165:383–384

    PubMed  CAS  Google Scholar 

  32. Thompson BH, Cragg AH, Smith TP, Bareniewski H, Barnhart WH, De Jong SC (1989) Thrombus-trapping efficiency of the Greenfield filter in vivo. Radiology 172:979–981

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Italia, Milano

About this chapter

Cite this chapter

Fava, C., Grosso, M., Veltri, A., Galli, J. (1996). Vascular Techniques in Pulmonary Embolism. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2203-4_24

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2203-4_24

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-3-540-75014-7

  • Online ISBN: 978-88-470-2203-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics