Life-saving percutaneous intervention in young patient with massive pulmonary embolism.

Abstract:

:Massive pulmonary embolism (PE) is not an uncommon condition, and it usually carries a high risk of mortality. It is one of the fatal conditions that commonly affect young patients. A definitive treatment for patients with massive PE is still lacking, and surgical intervention carries a substantial mortality risk. Thus, percutaneous intervention (clot fragmentation and/or aspiration) remains an option in some patients, specifically in those with a risk of bleeding, contraindicating the use of thrombolysis. There have been no randomized trials to validate percutaneous intervention in massive PE. A sufficient level of evidence is still lacking, and its use depends upon the expert committee's opinion and study of previous case reports. We present a 23-year-old man with first onset massive PE secondary to protein C deficiency, who was treated successfully with the combination of systemic thrombolysis and percutaneous interventions.

journal_name

Ann Saudi Med

journal_title

Annals of Saudi medicine

authors

Yaakob ZH,Undok AW,Abidin IZ,Wan Ahmad WA

doi

10.5144/0256-4947.2012.433

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

433-6

issue

4

eissn

0256-4947

issn

0975-4466

pii

12-433

journal_volume

32

pub_type

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