Catheter directed thrombolytic therapy and aspiration thrombectomy in intermediate pulmonary embolism with long term results.

Abstract:

BACKGROUND:Catheter directed thrombolysis (CDT) and thrombectomy represent well established techniques for the treatment of intermediate pulmonary embolism (IPE). The long-term effect of catheter directed thrombolysis of IPE is unknown. METHODS:Clinical, interventional and echocardiographic data from 80 consecutive patients with IPE who were treated with CDT were evaluated. Primary end-points were technical success and major adverse events. Secondary end-points were cardiovascular mortality, all-cause mortality, clinical success, rate of bleeding complications, improvement in pulmonary pressure and echocardiography parameters. CDT completed with alteplase (10 mg bolus and 1 mg/h maintenance dose) through a pig-tail catheter for 24 h. After 24 h, control pulmonary angiography was performed. RESULTS:In total, 80 patients with a mean age of 59.0 ± 16.8 years were treated. CDT was successful after the first post-operative day in 72 (90%) patients, but thrombus aspiration and fragmentation was performed due to failed thrombolysis in 8 (10%) patients. Final technical and clinical success was reached in 79 (98.8%) and 77 (96.3%) patients, respectively. The mean CDT time in IPE was 27.8 ± 9.6 h. Invasive pulmonary pressure dropped from 57.5 ± 16.7 to 38.9 ± 13.5 (p < 0.001). A caval filter was implanted in 4 (5%) patients. The 1-year major adverse events and cardiovascular mortality rate was 4.0% and 1.4%, respectively. Access site complications (6 major and 6 minor) were encountered in 12 (16.2%) patients. CONCLUSIONS:Catheter directed thrombolysis in submassive pulmonary embolism had excellent results. However, additional mechanical thrombectomy was necessary in some patients to achieve good clinical outcomes.

journal_name

Cardiol J

journal_title

Cardiology journal

authors

Ruzsa Z,Vámosi Z,Berta B,Nemes B,Tóth K,Kovács N,Zima E,Becker D,Merkely B

doi

10.5603/CJ.a2020.0060

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

368-375

issue

4

issn

1897-5593

pii

VM/OJS/J/66725

journal_volume

27

pub_type

杂志文章
  • Noninvasive positive pressure ventilation therapy can improve cardiac structure and function in patients with coronary artery disease combined with severe obstructive sleep apnea/hypopnea syndrome.

    abstract:BACKGROUND:To investigate the effects of a noninvasive positive pressure ventilation therapy on cardiac structure and function in patients with coronary heart disease combined with obstructive sleep apnea/hypopnea syndrome (OSAHS). METHODS:80 coronary heart disease OSAHS patients from three hospitals in Shanghai were ...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2014.0042

    authors: Liu X,Feng L,Cao G,Huang H,Yu J,Xu Q,Zhang S,Zhou M

    更新日期:2014-05-20 00:00:00

  • Optimal revascularization in diabetes after the FREEDOM trial: were the controversies finally settled?

    abstract::The prevalence of diabetes mellitus (DM) is growing worldwide. Prothrombotic and proinflammatory states, in adjunct to endothelial dysfunction and metabolic disorders, such as hyperglycemia, dyslipidemia, obesity, insulin resistance, and oxidative stress, are key features of the accelerated atherosclerotic progression...

    journal_title:Cardiology journal

    pub_type: 杂志文章,评审

    doi:10.5603/CJ.2013.0090

    authors: Tenenbaum A,Fisman EZ

    更新日期:2013-01-01 00:00:00

  • Low permanent pacemaker rates following Lotus device implantation for transcatheter aortic valve replacement due to modified implantation protocol.

    abstract:BACKGROUND:Conduction disturbances requiring permanent pacemaker implantation following transcatheter aortic valve replacement (TAVR) are a common problem. Pacemaker implantation rates after TAVR appear to be higher compared to conventional aortic valve replacement. The aim of this study was to analyze whether a high a...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2017.0024

    authors: Krackhardt F,Kherad B,Krisper M,Pieske B,Laule M,Tschöpe C

    更新日期:2017-01-01 00:00:00

  • The early variation of left ventricular twisting function in patients with lymphoma received anthracycline therapy assessed by three-dimensional speckle tracking echocardiography.

    abstract:BACKGROUND:Anthracycline-induced cardiotoxicity remains a significant and unresolved issue in patients receiving chemotherapy. The aim of this study was to evaluate left ventricular (LV) twisting function by three-dimensional speckle tracking echocardiography (3D-STE) in patients with lymphoma after anthracycline thera...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2017.0035

    authors: Song F,Kang Y,Zhang C,Xu Y,Shi J,Guo Y,Zhang Q,Shu X,Cheng L

    更新日期:2017-01-01 00:00:00

  • Prognostic significance of red cell distribution width and its relation to increased pulmonary pressure and inflammation in acute heart failure.

    abstract:BACKGROUND:Red cell distribution width (RDW) in acute heart failure (AHF) is accepted as a prognostic indicator with unclear pathophysiological ties. The aim of this study was to evaluate the prognostic value of RDW in AHF patients in relation to clinical and echocardiographic data. METHODS:170 patients with AHF were ...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2018.0103

    authors: Targoński R,Sadowski J,Starek-Stelmaszczyk M,Targoński R,Rynkiewicz A

    更新日期:2020-01-01 00:00:00

  • Typical atrial flutter with atypical flutter wave morphology due to abnormal interatrial conduction.

    abstract::We report a case of typical counterclockwise atrial flutter (AFL) with conduction block from right to left atrium along the coronary sinus (CS) musculature, confirmed by discontinuous CS activation sequence during pacing near the ostium and differential right atrial pacing. AFL was associated with an atypical flutter ...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Irie T,Kaneko Y,Nakajima T,Saito A,Ota M,Kato T,Iijima T,Tamura M,Kobayashi H,Ito T,Manita M,Kurabayashi M

    更新日期:2011-01-01 00:00:00

  • The association between coronary flow rate and impaired heart rate recovery in patients with metabolic syndrome: A preliminary report.

    abstract:BACKGROUND:The aim of this study is to evaluate heart rate recovery (HRR) and association between coronary flow rate and HRR in patients with metabolic syndrome (MS) who had morphologically normal coronary angiogram. METHODS:Study population included 43 patients with MS and 37 control subjects without MS. All patients...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2013.0119

    authors: Alihanoglu YI,Kilic ID,Evrengul H,Yildiz BS,Alur I,Uludag B,Kuru O,Taskoylu O,Kaftan HA

    更新日期:2014-01-01 00:00:00

  • Thrombolytic effect of streptokinase infusion assessed by ST-segment resolution between diabetic and non-diabetic myocardial infarction patients.

    abstract:BACKGROUND:Recently, it has been hypothesized that type 2 diabetes might interfere with acute intravenous thrombolysis effectiveness as estimated by angiographic or electrocardiographic criteria. In our study, we compared the thrombolytic effect of streptokinase infusion between diabetic and non-diabetic myocardial inf...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/cj.2012.0029

    authors: Masoomi M,Samadi S,Sheikhvatan M

    更新日期:2012-01-01 00:00:00

  • Influence of percutaneous pulmonary valve implantation on exercise capacity: Which group of patients benefits most from the intervention?

    abstract:BACKGROUND:The aim of the study was to evaluate the role of cardiopulmonary exercise testing (CPET) parameters in assessing exercise capacity improvement after percutaneous pulmonary valve implantation (PPVI). Additionally, it aimed to determine if there are any baseline characteristics influencing that change. METHOD...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2015.0013

    authors: Biernacka EK,Piotrowicz E,Fronczak A,Mazgaj M,Demkow M,Rużyłło W,Śpiewak M,Kowalski M,Piotrowicz R,Weroński K,Hoffman P

    更新日期:2015-01-01 00:00:00

  • Association between prophylactic hydration volume and risk of contrast-induced nephropathy after emergent percutaneous coronary intervention.

    abstract:BACKGROUND:Intravenous hydration during percutaneous coronary intervention (PCI) significantly reduces the risk of contrast-induced nephropathy (CIN), but there are no well-defined protocols regard¬ing the optimal hydration volume (HV) required to prevent CIN following emergent PCI. Therefore, this study investigates t...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2017.0048

    authors: Cui T,Zhao J,Bei W,Li H,Tan N,Wu D,Wang K,Guo X,Liu Y,Duan C,Chen S,Lin K,Liu Y

    更新日期:2017-01-01 00:00:00

  • Sinoatrial Wenckebach periodicity as an independent marker for the development of high-degree sinoatrial exit block.

    abstract:BACKGROUND:The present study of patients with Wenckebach-type second-degree sinoatrial block (W-block) evaluated the probability of the development of a more advanced grade of sinoatrial block. Data on the clinical significance of W--block are limited. It is unknown whether W-block predicts a more advanced grade of sin...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Dabrowski A,Piotrowicz R,Kramarz E,Kubik L

    更新日期:2007-01-01 00:00:00

  • Diagnostic value of flow mediated dilatation measurement for coronary artery lesions in men under 45 years of age.

    abstract:BACKGROUND:In those without symptoms of coronary artery disease (CAD), the incidence of coronary events is still high. The aim of this study was to evaluate whether flow mediated dilatation (FMD) is a useful tool in identifying those with CAD in who are under 45 years of age. METHODS AND RESULTS:Seventy five men below...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Kaźmierski M,Michalewska-Włudarczyk A,Krzych LJ,Tendera M

    更新日期:2010-01-01 00:00:00

  • Mechanical efficiency of high versus moderate intensity aerobic exercise in coronary heart disease patients: A randomized clinical trial.

    abstract:BACKGROUND:Mechanical efficiency (ME) refers to the ability of an individual to transfer energy consumed by external work. A decreased ME, could represent an increased energy cost during exercise and may, therefore, be limited in terms of physical activity. This study aimed to compare the influence of two different exe...

    journal_title:Cardiology journal

    pub_type: 杂志文章,随机对照试验

    doi:10.5603/CJ.a2018.0052

    authors: Villelabeitia-Jaureguizar K,Vicente-Campos D,Berenguel Senen A,Hernández Jiménez V,Ruiz Bautista L,Barrios Garrido-Lestache ME,López Chicharro J

    更新日期:2019-01-01 00:00:00

  • Myocardial strain characteristics and outcomes after transcatheter aortic valve replacement.

    abstract:BACKGROUND:Objective of this study was to make an assessment of standard functional and defor-mation parameters (strain) in patients after transcatheter aortic valve replacement (TAVR) by cardiac magnetic resonance imaging (CMR) and the evaluation of their prognostic impact. METHODS:Patients undergoing TAVR received C...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2017.0121

    authors: Buckert D,Tibi R,Cieslik M,Radermacher M,Qu YY,Rasche V,Bernhardt P,Hombach V,Rottbauer W,Wöhrle J

    更新日期:2018-01-01 00:00:00

  • The impact of transferring patients with ST-segment elevation myocardial infarction to percutaneous coronary intervention-capable hospitals on clinical outcomes.

    abstract:BACKGROUND:Primary percutaneous coronary intervention (PCI) is recommended for ST-segment elevation myocardial infarction (STEMI) patients even when the patient must be transported to a PCI-capable hospital. This study aimed to evaluate the long-term clinical outcomes of STEMI patients who were transferred for primary ...

    journal_title:Cardiology journal

    pub_type: 杂志文章,多中心研究

    doi:10.5603/CJ.a2016.0003

    authors: Kim BW,Cha KS,Park MJ,Choi JH,Yun EY,Park JS,Lee HW,Oh JH,Kim JS,Choi JH,Park YH,Lee HC,Kim JH,Chun KJ,Hong TJ,Ahn Y,Jeong MH

    更新日期:2016-01-01 00:00:00

  • Rationale of decreasing low-density lipoprotein cholesterol below 70 mg/dL in patients with coronary artery disease: A retrospective virtual histology-intravascular ultrasound study.

    abstract:BACKGROUND:The associations between statin and coronary plaque compositional changes were re-ported according to the use of high dose or not. An evaluation of the impact of low-density lipoprotein cholesterol (LDL-C) < 70 mg/dL by using real world dosages of statin on coronary plaque composition was undertaken. METHOD...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2018.0002

    authors: Seo YH,Seo DJ,Song IG,Kim KH,Kwon TG,Bae JH

    更新日期:2018-01-01 00:00:00

  • Lymphopenia and mortality among patients undergoing coronary angiography: Long-term follow-up study.

    abstract:BACKGROUND:Lymphopenia is associated with adverse prognosis in chronic disease states that are related to immune dysregulation. We aimed to determine the association between lymphopenia and mortality in patients presenting to coronary angiography and investigate whether elevated red blood cell distribution width (RDW),...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2020.0141

    authors: Zafrir B,Hussein S,Jaffe R,Barnett-Griness O,Saliba W

    更新日期:2020-11-03 00:00:00

  • Echocardiographic evaluation of the systemic ventricle after atrial switch procedure. The usefulness of subcostal imaging.

    abstract:BACKGROUND:Subcostal planes allow demonstration of the entire right ventricular cavity and are frequently used in patients with congenital heart disease; however, their clinical utility in the evaluation of systemic right ventricular function after atrial switch procedure for complete transposition has never been verif...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Hoffman P,Szymański P,Lubiszewska B,Rózański J

    更新日期:2008-01-01 00:00:00

  • Evaluation of coronary artery abnormalities in Williams syndrome patients using myocardial perfusion scintigraphy and CT angiography.

    abstract:BACKGROUND:Sudden death risk in Williams syndrome (WS) patients has been shown to be 25-100 times higher than in the general population. This study aims to detect coronary artery anomalies and myocardial perfusion defects in WS patients using noninvasive diagnostic methods. METHODS:This study features 38 patients diag...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/cj.2012.0053

    authors: Ergul Y,Nisli K,Kayserili H,Karaman B,Basaran S,Dursun M,Yilmaz E,Ergul N,Unal SN,Dindar A

    更新日期:2012-01-01 00:00:00

  • Risk factor paradox: No prognostic impact of arterial hypertension and smoking in patients with ventricular tachyarrhythmias.

    abstract:BACKGROUND:Data regarding the outcome of patients with ventricular tachyarrhythmias related to arterial hypertension (AHT) and smoking is limited. The study sought to assess the prognostic impact of AHT and smoking on survival in patients presenting with ventricular tachyarrhythmias. METHODS:All consecutive patients s...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2018.0158

    authors: Weidner K,Behnes M,Rusnak J,Taton G,Schupp T,Reiser L,Bollow A,Reichelt T,Ellguth D,Engelke N,Kuche P,Hoppner J,El-Battrawy I,Lang S,Nienaber CA,Mashayekhi K,Ferdinand D,Weiß C,Borggrefe M,Akin I

    更新日期:2020-01-01 00:00:00

  • Tension pneumopericardium after removal of pericardiocentesis drainage catheter.

    abstract::This image showed tension pneumopericardium caused by removing the pericardiocentesis catheter, which was inserted to drain malignant pericardial effusion. Tension pneumopericardium is a rare and potentially fatal event. Mortality from tension pneumopericardium can be as high as 50%. Therefore, it is important to susp...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Kim HR,Choi D,Chung JW,Youn YN,Shim CY

    更新日期:2009-01-01 00:00:00

  • The impact of proximal cell rewiring compared with distal cell rewiring with single-stent deployment and subsequent kissing balloon inflation in the inadequate jailing of a Kaname stent on the side branch ostium.

    abstract:BACKGROUND:The aim of the study was to identify differences between proximal and distal cell rewir-ing with subsequent kissing balloon inflation (KBI) in the presence of a link connected to a carina on the jailed side branch ostium (SBO). METHODS:Kaname stents were deployed in bifurcation models (n = 12) with subseque...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2017.0076

    authors: Nakao F

    更新日期:2018-01-01 00:00:00

  • Evaluation of a direct access cardiac arrhythmia monitoring service.

    abstract:BACKGROUND:This paper describes the clinical outcomes from a novel direct access arrhythmia monitoring service. METHODS:The study was carried out in the north of Scotland. Data was collected over a 29 month period between 18 June 2008 and 8 November 2010 from consecutive cases from two groups of patients, general prac...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/cj.2012.0010

    authors: Skipsey DA,Dawson FM,Breen C,Leslie SJ

    更新日期:2012-01-01 00:00:00

  • Feasibility of zero or near zero fluoroscopy during catheter ablation procedures.

    abstract:BACKGROUND:Awareness of risks associated with radiation exposure to patients and medical staff has significantly increased. It has been reported before that the use of advanced three-dimensional electroanatomical mapping (EAM) system significantly reduces fluoroscopy time, however this study aimed for zero or near zero...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2018.0029

    authors: Haegeli LM,Stutz L,Mohsen M,Wolber T,Brunckhorst C,On CJ,Duru F

    更新日期:2019-01-01 00:00:00

  • Arrhythmogenic effect of flecainide toxicity.

    abstract::Flecainide is a class 1C antiarrhythmic drug especially used for the management of supraventricular arrhythmia. In overdose cases, flecainide can induce life treating ventricular arrhythmias and cardiogenic shock. We report the case of a 72-year-old woman admitted to our intensive care unit for a regular monomorphic w...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.2013.0035

    authors: Courand PY,Sibellas F,Ranc S,Mullier A,Kirkorian G,Bonnefoy E

    更新日期:2013-01-01 00:00:00

  • Predicted and observed in-hospital mortality after left main coronary artery stenting in 204 patients.

    abstract:BACKGROUND:The purpose of this study was to compare risk predicted using available risk scores and actual outcomes in patients with left main coronary artery disease undergoing percutaneous coronary intervention with stent implantation (PCI LM). METHODS:We studied 204 patients treated with elective or emergent coronar...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Sukiennik A,Ostrowska-Nowak J,Wiśniewska-Szmyt J,Radomski M,Rychter M,Jabłoński M,Białoszyński T,Koziński M,Fabiszak T,Dobosiewicz R,Zabielska E,Sukiennik T,Kubica A,Król A,Demidowicz K,Chojnicki M,Grabczewska Z,Swiatki

    更新日期:2008-01-01 00:00:00

  • Percutaneous reconstruction of the continuity of a functionally interrupted aortic arch using a stent.

    abstract::A case of a 26-year-old man without continuity of blood flow in the level of the isthmus of the aorta is described. During interventional catheterization, we reconstructed this continuity and implanted a vascular stent. ...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Kusa J,Szkutnik M,Białkowski J

    更新日期:2008-01-01 00:00:00

  • Pretreatment with antiplatelet drugs improves the cardiac function after myocardial infarction without reperfusion in a mouse model.

    abstract:BACKGROUND:Reperfusion therapy is known to improve prognosis and limit myocardial damage after myocardial infarction (MI). The administration of antiplatelet drugs prior to percutaneous coronary intervention also proves beneficial to patients with acute MI (AMI). However, a good number of AMI patients do not receive re...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/CJ.a2019.0051

    authors: Zhang K,Yang W,Zhang M,Sun Y,Zhang T,Liu J,Zhang J

    更新日期:2019-05-20 00:00:00

  • Relationship between R-R interval variation and left ventricular function in sinus rhythm and atrial fibrillation as estimated by means of heart rate variability fraction.

    abstract:BACKGROUND:Reduced heart rate variability (HRV) is associated with a poor outcome in patients with sinus rhythm (SR) or atrial fibrillation (AF). However, cut-off points for HRV measures differ between SR and AF. We hypothesized that a global index of 24-hour HRV based on evaluation of scatterplot would describe HRV ir...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:10.5603/cj.2011.0010

    authors: Sosnowski M,Korzeniowska B,Macfarlane PW,Tendera M

    更新日期:2011-01-01 00:00:00

  • The comparison of contrast echocardiography and tissue Doppler imaging for evaluation of reperfused myocardium in patients with acute anterior myocardial infarction.

    abstract:BACKGROUND:Prediction of functional myocardial recovery post acute myocardial infarction should be based not only on flow patency of the infarct related artery (IRA) but also on the quality of microcirculation in at-risk segments. Myocardial blush grade (MBG) is a method of perfusion assessment which has an established...

    journal_title:Cardiology journal

    pub_type: 杂志文章

    doi:

    authors: Streb W,Duszańska A,Stabryła-Deska J,Pluta S,Swierad M,Was T,Kalarus Z,Kukulski T

    更新日期:2008-01-01 00:00:00