Ultrasound-Assisted Catheter-Directed Thrombolysis for Submassive Pulmonary Embolism.

Abstract:

PURPOSE:Catheter-directed thrombolysis (CDT) is a relatively new therapy for pulmonary embolism that achieves the superior clot resolution compared to systemic thrombolysis while avoiding the high bleeding risk intrinsically associated with that therapy. In order to examine the efficacy and safety of CDT, we conducted a retrospective cohort study of patients undergoing ultrasound-assisted CDT at our institution. METHODS:The charts of 30 consecutive patients who underwent CDT as a treatment of pulmonary embolism at our institution were reviewed. Risk factors for bleeding during thrombolysis were noted. Indicators of the right heart strain on computed tomography and echocardiogram, as well as the degree of pulmonary vascular obstruction, were recorded before and after CDT. Thirty-day mortality and occurrence of bleeding events were recorded. RESULTS:Nine (30%) patients had 3 or more minor contraindications to thrombolysis and 14 (47%) had major surgery in the month prior to CDT. Right ventricular systolic pressure and vascular obstruction decreased significantly after CDT. There was a significant decrease in the proportion of patients with right ventricular dilation or hypokinesis. Decrease in pulmonary vascular obstruction was associated with nadir of fibrinogen level. No patients experienced major or moderate bleeding attributed to CDT. CONCLUSION:Catheter-directed thrombolysis is an effective therapy in rapidly alleviating the right heart strain that is associated with increased mortality and long-term morbidity in patients with pulmonary embolism with minimal bleeding risk. Catheter-directed thrombolysis is a safe alternative to systemic thrombolysis in patients with risk factors for bleeding such as prior surgery. Future studies should examine the safety of CDT in patients with contraindications to systemic thrombolysis.

journal_name

Vasc Endovascular Surg

authors

Mohan PP,Manov JJ,Contreras F,Langston ME,Doshi MH,Narayanan G

doi

10.1177/1538574418757400

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

195-201

issue

3

eissn

1538-5744

issn

1938-9116

journal_volume

52

pub_type

杂志文章
  • Endovascular Coil Migration Into the Intestinal Lumen: Two Cases of Successful Nonoperative Management.

    abstract::Endovascular embolization of visceral arteries is commonly performed as treatment for aneurysms, pseudoaneurysms, and emboloradiation of liver tumors; while considered relatively safe, it is not without complications. We are reporting 2 cases of coil migration into the gastrointestinal tract. Patients were successfull...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574418805224

    authors: French B,Hayes D

    更新日期:2019-02-01 00:00:00

  • Percutaneous embolization of a postnephrectomy arteriovenous fistula with intervening pseudoaneurysm using the Amplatzer vascular plug 2.

    abstract::Although renal arteriovenous fistula (AVF) is an uncommon condition, it may lead to high cardiac output heart failure and renal insufficiency. Recently, percutaneous transcatheter embolization has replaced traditional surgery as the first line of treatment. We report a case of a 68-year-old male who presented with a r...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574414561230

    authors: Abdel-Aal AK,Elsabbagh A,Soliman H,Hamed M,Underwood E,Saddekni S

    更新日期:2014-10-01 00:00:00

  • The effect of balloon-occluded transvenous obliteration of gastric varices and gastrorenal shunts on the hepatic synthetic function: a comparison between Child-Pugh and model for end-stage liver disease scores.

    abstract:PURPOSE:To evaluate the effect of balloon-occluded transvenous obliteration (BRTO) on the model for end-stage liver disease (MELD) and the Child-Pugh (C-P) score and their individual components. METHODS:A retrospective review of patients undergoing only BRTO without transjugular intrahepatic portosystemic shunt was pe...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574413485646

    authors: Saad WE,Wagner CC,Al-Osaimi A,Bliebel W,Lippert A,Davies MG,Sabri SS,Turba UC,Matsumoto AH,Angle JF,Caldwell S

    更新日期:2013-05-01 00:00:00

  • The diagnosis and management of aortic dissection.

    abstract::Aortic dissection represents the most common aortic emergency, affecting 3 to 4 per 100,000 people per year and is still associated with a high mortality. Twenty percent of the patients with aortic dissection die before reaching hospital and 30% die during hospital admission. Aortic dissections may be classified in 3 ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审

    doi:10.1177/1538574410362118

    authors: Karthikesalingam A,Holt PJ,Hinchliffe RJ,Thompson MM,Loftus IM

    更新日期:2010-04-01 00:00:00

  • Posterior nutcracker syndrome.

    abstract::Renal vein compression syndromes are rare causes of hematuria and can be divided into anterior and posterior nutcracker syndrome. When the left renal vein is compressed between the aorta and the superior mesenteric artery it causes anterior nutcracker syndrome. The posterior nutcracker syndrome is very rare and is con...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574411419376

    authors: Skeik N,Gloviczki P,Macedo TA

    更新日期:2011-11-01 00:00:00

  • Inflammatory abdominal aortic aneurysms (IAAA): past and present.

    abstract:AIM:The aim of the study is to determine whether presentation and outcomes of inflammatory abdominal aortic aneurysms (IAAA) have changed over the last five decades. METHODS:Comparison of current outcomes (January 2001 to December 2007) with results of the earliest report from our unit in 1972. RESULTS:In contemporar...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574409335915

    authors: Paravastu SC,Murray D,Ghosh J,Serracino-Inglott F,Smyth JV,Walker MG

    更新日期:2009-08-01 00:00:00

  • Endovenous laser treatment of saphenous vein reflux: how much energy do we need to prevent recanalizations?

    abstract::The aim of this study was to report the results of high-energy endovenous laser treatment to measure the relationship between the fluence and the outcome in terms of recanalization. In 97 patients, 129 great saphenous veins were treated with endovenous laser treatment, using a 980-nm diode laser. Follow-up visits were...

    journal_title:Vascular and endovascular surgery

    pub_type: 临床试验,杂志文章

    doi:10.1177/1538574407311107

    authors: Vuylsteke M,Liekens K,Moons P,Mordon S

    更新日期:2008-04-01 00:00:00

  • Ruptured Juxtarenal Abdominal Aortic Aneurysm Treated With a Fenestrated EVAR Graft Intended for a Different Patient.

    abstract::Treatment of juxtarenal abdominal aortic aneurysms (AAAs) remains challenging. A 79-year-old male who had infrarenal endovascular repair of abdominal aortic aneurysm (EVAR) 13 years previously presented with leaking juxtarenal AAA. Emergency fenestrated EVAR (FEVAR) was performed utilizing a stent graft designed and b...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574416655897

    authors: Al-Jundi W,Elboushi A,Lees T,Williams R

    更新日期:2016-08-01 00:00:00

  • Safety and Feasibility of Renal Sympathetic Denervation in Patients With Insufficient Renal Artery Length.

    abstract::Insufficient renal artery length for renal sympathetic denervation (RDN) is defined as having a main renal artery shorter than 20 mm in length. Such an anatomy is considered a contraindication for most of the currently available endovascular RDN devices. The concern stems from the need to distribute the ablation point...

    journal_title:Vascular and endovascular surgery

    pub_type: 信件

    doi:10.1177/1538574416629564

    authors: Pua U,Tang AA,Ooi YW,Ho HH,Ong PJ

    更新日期:2016-01-01 00:00:00

  • A novel alternative to open conversion for type 1 endoleak resulting in ruptured aneurysm.

    abstract::In this article, a novel technique for the treatment of ruptured abdominal aortic aneurysm secondary to proximal type 1 endoleak as a result of progressive neck dilatation after endovascular aneurysm repair is reported. A 74-year-old man with multiple comorbidities including severe ischemic heart disease, congestive c...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574408315203

    authors: Varcoe RL,Laird MP,Frawley JE

    更新日期:2008-08-01 00:00:00

  • Endovascular repair of early rupture of Dacron aortic graft--two case reports.

    abstract::Complications after open aortic surgery pose a challenge both to the vascular surgeon and the patient because of aging population, widespread use of cardiac revascularization, and improved survival after aortic surgery. The perioperative mortality rate for redo elective aortic surgery ranges from 5% to 29% and increas...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440503900208

    authors: Sultan S,Heskin L,Oaikhinan K,Hynes N,Akhter Y,Courtney D

    更新日期:2005-03-01 00:00:00

  • Long-Term Hemodynamic Effects After Carotid Artery Revascularization.

    abstract:OBJECTIVE:The baroreceptor at the carotid body plays an important role in hemodynamic autoregulation. Manipulation of the baroreceptor during carotid endarterectomy (CEA) or radial force from carotid artery angioplasty and/or stenting (CAS) may cause both intraoperative and postoperative hemodynamic instability. The pu...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574419828088

    authors: Lim S,Javorski MJ,Nassoiy SP,Park Y,Halandras PM,Bechara CF,Aulivola B,Crisostomo PR

    更新日期:2019-05-01 00:00:00

  • Endovascular solutions to complications of open aortic repair.

    abstract::Open repair of abdominal aortic aneurysms (AAAs) or occlusive disease can be complicated by pseudoaneurysm formation and aneurysmal dilatation of native vessels. Reports of reoperation for these new lesions have a mortality rate of 5-17% electively, and 24-88% if ruptured. These complications are commonly several year...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440503900302

    authors: Pearce BJ,Baldwin Z,Bassiouny H,Gewertz BL,McKinsey JF

    更新日期:2005-05-01 00:00:00

  • The risk factors and clinical outcomes of upper extremity deep vein thrombosis.

    abstract::The prevalence of upper extremity deep vein thrombosis (UEDVT) has shown a dramatic increase with the use of central venous catheters (CVCs) for patient care. The objective of this study was to identify risk factors and clinical outcomes in patients diagnosed with UEDVT at an academic medical center over a 1-year peri...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574411432145

    authors: Lee JA,Zierler BK,Zierler RE

    更新日期:2012-02-01 00:00:00

  • Leiomyosarcoma of the Inferior Vena Cava Confirmed by Aspiration Biopsy With a Catheter During Digital Subtraction Angiography.

    abstract::Leiomyosarcoma of the vascular origin is a rare malignant tumor. It originates from the smooth muscle cells of the media with intra- or extraluminal growth, and in most cases it arises in the inferior vena cava. The diagnosis is often delayed because the clinical symptoms of this disease are often nonspecific. Accurat...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574416637445

    authors: Yakupoglu A,Ulus S,Cantasdemir M

    更新日期:2016-04-01 00:00:00

  • Recurrent Ectopic Variceal Bleed After Pancreas Transplantation With No Portal Hypertension: Case Report and Outcomes of Endovascular Onyx Embolization.

    abstract::A 57-year-old male presented with intermittent gastrointestinal bleeding (GIB) 1 year after a successful simultaneous pancreas and kidney transplant. No source could be found after 5 tagged red blood cell studies, 3 computed tomographies (CTs), 7 endoscopies, and 4 catheter angiograms. Review of CTs showed pathologica...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574419839255

    authors: Rostambeigi N,Shrestha P,Dunn TB,Golzarian J,Khoshnoodi P,Rosenberg M,Talaie R

    更新日期:2019-07-01 00:00:00

  • Internal Carotid Artery Aplasia in a Patient With Nail-Patella Syndrome.

    abstract::Nail-patella syndrome (NPS) is a rare disorder characterized by abnormal development of ectodermal and mesodermal tissues. Classically, NPS presents as a triad of nail dysplasia, dysplastic patellae, and bony exostoses of the ilia known as "iliac horns." Apart from dermatological and skeletal abnormalities, patients m...

    journal_title:Vascular and endovascular surgery

    pub_type:

    doi:10.1177/1538574419888345

    authors: Kraus J,Jahngir MU,Singh B,Qureshi AI

    更新日期:2020-02-01 00:00:00

  • Endovascular repair of small abdominal aortic aneurysms: a paradigm shift?

    abstract::Recent reports have documented poor long-term results following endovascular aneurysm repair (EVAR) of large abdominal aortic aneurysms (AAA). EVAR of small AAAs may result in improved long-term results compared to large AAAs. It is not known whether the frequency of anatomic suitability for EVAR is increased for smal...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440503900502

    authors: Welborn MB 3rd,Yau FS,Modrall JG,Lopez JA,Floyd S,Valentine RJ,Clagett GP

    更新日期:2005-09-01 00:00:00

  • Carotid endarterectomy in octogenarians with symptomatic high-grade internal carotid artery stenosis: long-term clinical and duplex follow-up.

    abstract::The objective of this study was to evaluate the clinical and duplex outcome after carotid endarterectomy (CEA) in recently symptomatic patients aged 80 years or older. Information was assembled from a prospective data collection of all CEAs performed from January 1986 to December 1999. Included were all patients with ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440203600601

    authors: Metz R,Teijink JA,van de Pavoordt HD,Ackerstaff RG,de Borst GJ,Kelder JC,Moll FL

    更新日期:2002-11-01 00:00:00

  • Evolving microbiology and treatment of extracavitary prosthetic graft infections.

    abstract::The authors report the microbiology and outcomes following an individualized treatment algorithm for extracavitary (EC) prosthetic graft infection, including the use of graft preservation and in situ graft replacement techniques. A retrospective 8-year review of 87 patients treated for EC prosthetic graft infections w...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574408322658

    authors: Stone PA,Back MR,Armstrong PA,Brumberg RS,Flaherty SK,Johnson BL,Shames ML,Bandyk DF

    更新日期:2008-12-01 00:00:00

  • Protective effects of ginaton on vascular endothelial cells injured by angiotensin II and hypoxia in vitro.

    abstract::The objective of this study was to explore the protective effect and possible mechanism of Ginkgo biloba extract (Ginaton) on human vascular endothelial cells (VECs) injured by angiotensin II (Ang-II) and hypoxia. The human aortic VECs were divided into different groups to observe the changes in endothelin (ET), intra...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574413486361

    authors: Han L,Li M

    更新日期:2013-07-01 00:00:00

  • CryoPlasty therapy of the superficial femoral and popliteal arteries: a single center experience.

    abstract::Long-term patency remains a significant hurdle in the minimally invasive treatment of arteriosclerosis in the superficial femoral and popliteal arteries. New technologies designed to address the sources of restenosis have recently been introduced. CryoPlasty therapy (Boston Scientific, Natick, Mass) is a new approach ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574406290048

    authors: Samson RH,Showalter DP,Lepore MR Jr,Ames S

    更新日期:2006-12-01 00:00:00

  • Functional results after through-knee and above-knee amputations: does more length mean better outcome?

    abstract::The objective was to evaluate our results on functional outcome for both through-knee amputations and above-knee amputations. Functional outcome was measured using the Special Interest Group in Amputee Medicine score, which focuses on walking distance and use of prosthesis. From 1997 to 2006, 39 through-knee amputatio...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574408316914

    authors: Met R,Janssen LI,Wille J,Langezaal AE,van de Mortel RW,van de Pavoordt ED,de Vries JP

    更新日期:2008-10-01 00:00:00

  • Type A acute aortic dissection: why does the false channel remain patent after surgery?

    abstract:PURPOSE:To understand why the false channel (FC) remains patent after surgery of type A acute aortic dissection (TAAAD). MATERIALS AND METHODS:Postoperative contrast-enhanced computed tomography scans of 129 patients operated for TAAAD were analyzed, and a color-Doppler ultrasound examination (CDUS) of the supra-aorti...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574413518611

    authors: Bing F,Rodière M,Martinelli T,Monnin-Bares V,Chavanon O,Bach V,Baguet JP,Ferretti GR,Thony F

    更新日期:2014-04-01 00:00:00

  • The endovascular treatment of a ruptured aneurysm of the middle colic artery combined with an isolated dissection of superior mesenteric artery: report of a case.

    abstract:BACKGROUND:Ruptured aneurysm of the middle colic artery is very rare. Its concomitance with isolated dissection of the superior mesenteric artery (SMAD) has not yet been reported in the literature. CASE REPORT:A previously well 56-year-old man was referred to our hospital with acute-onset pain throughout the entire ab...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574413518615

    authors: Ham EM,Cho BS,Ye JB,Mun YS,Choi YJ,Kwon OS

    更新日期:2014-05-01 00:00:00

  • Imaging Obtained Up To 12 Months Preoperatively Is Adequate for Planning Fenestrated/Branched Endovascular Aortic Aneurysm Repair.

    abstract:OBJECTIVES:Patients referred for fenestrated/branched endovascular aortic repair (F/BEVAR) often present with a previous computed tomography angiogram (CTA), but it is unknown how recent the CTA must be to ensure accurate F/BEVAR planning. We sought to determine whether anatomic planning parameters change significantly...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574419864769

    authors: Nguyen TT,Simons JP,Podder S,Crawford AS,Judelson DR,Arous EJ,Aiello FA,Schanzer A

    更新日期:2019-10-01 00:00:00

  • Endovascular repair of traumatic descending thoracic aortic disruptions: should endovascular therapy become the gold standard?

    abstract::Acute arterial disruptions of the thoracic aorta are rare and often lethal. They are most often due to blunt trauma and occur most commonly just distal to the left subclavian artery origin in the setting of multisystem injuries. The very proximal nature of the lesion in survivors makes open surgical repair hazardous, ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440403800404

    authors: Uzieblo M,Sanchez LA,Rubin BG,Choi ET,Geraghty PJ,Flye MW,Curci JA,Moon MR,Sicard GA

    更新日期:2004-07-01 00:00:00

  • Hybrid procedures for complex thoracoabdominal aortic aneurysms: early results and secondary interventions.

    abstract:BACKGROUND:Hybrid procedures for thoracoabdominal aortic aneurysms (TAAA) have been previously described as an attractive alternative to open reconstruction. PATIENTS AND METHODS:Between 1999 and 2009, 16 patients with a median age of 67years underwent hybrid repair of a TAAA (Crawford type I: 3, type II: 3, type III:...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574409347390

    authors: Muehling BM,Bischoff G,Schelzig H,Sunder-Plassmann L,Orend KH

    更新日期:2010-02-01 00:00:00

  • Analysis of vascular closure devices after transbrachial artery access.

    abstract:INTRODUCTION:We seek to determine whether vascular closure devices (VCDs) are safe and effective for brachial artery access. METHODS:A retrospective review of brachial artery access using either manual compression (MC) or a VCD for hemostasis from November 2005 to February 2011 was performed. RESULTS:Brachial artery ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574414551576

    authors: Mirza AK,Steerman SN,Ahanchi SS,Higgins JA,Mushti S,Panneton JM

    更新日期:2014-10-01 00:00:00

  • Endovascular repair of traumatic aortic injury using a custom fenestrated endograft to preserve the left subclavian artery.

    abstract:PURPOSE:To describe the use of custom fenestrated endografts to preserve left subclavian artery (SCA) flow when requiring coverage during endovascular repair of blunt aortic injury (BAI). CASE REPORT:A 39-year-old male involved in a motor vehicle accident sustained injuries including intracranial hemorrhage, BAI, and ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574411413939

    authors: Gilani R,Ochoa L,Wall MJ Jr,Tsai PI,Mattox KL

    更新日期:2011-08-01 00:00:00