Daniel Tébar-Márquez, Alfonso Jurado-Román, Santiago Jiménez-Valero, Guillermo Galeote, Andoni García-Muñoz, Alicia Lorenzo-Hernández, Carmen Fernández-Capitán, Rosario Torres Santos-Olmo, Sergio Alcolea-Batres, Clara Ugueto, Silvio Vera-Vera, Raúl Moreno
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引用次数: 0
Abstract
High-risk pulmonary embolism (PE) is a serious and potentially fatal condition in pregnant and postpartum women. Clinical practice guidelines recommend managing high-risk PE in the general population with systemic thrombolysis as the first therapeutic option. However, pregnant and especially early postpartum women may have a high risk of bleeding that contraindicates this therapy. In this regard, dedicated percutaneous large-bore aspiration catheters may be a promising alternative for this population. We present 2 cases of pregnant women diagnosed with high-risk PE and an absolute contraindication to systemic thrombolysis, successfully treated with percutaneous mechanical thrombectomy using a dedicated large-bore aspiration catheter. There were no complications, and both patients were discharged with full recovery and subsequently had uncomplicated deliveries.Clinical ImpactThrough these clinical cases, we present a new protocol of action, updated with the latest evidence on percutaneous pulmonary thrombectomy using dedicated catheters, for high-risk PE in pregnant women or during the early postpartum period.
高危肺栓塞(PE)是孕妇和产后妇女的一种严重且可能致命的疾病。临床实践指南建议将全身溶栓作为治疗高危肺栓塞的首选方案。然而,孕妇尤其是早期产后妇女可能会有出血的高风险,因此禁用这种疗法。在这方面,专用的经皮大口径抽吸导管可能是这一人群的一个有前途的选择。我们介绍了两例被诊断为高风险 PE 和全身溶栓绝对禁忌症的孕妇,她们使用专用的大口径抽吸导管成功地进行了经皮机械血栓切除术。临床影响通过这些临床病例,我们介绍了一种新的行动方案,该方案根据使用专用导管经皮肺血栓切除术治疗孕妇或产后早期高危 PE 的最新证据进行了更新。
期刊介绍:
The Journal of Endovascular Therapy (formerly the Journal of Endovascular Surgery) was established in 1994 as a forum for all physicians, scientists, and allied healthcare professionals who are engaged or interested in peripheral endovascular techniques and technology. An official publication of the International Society of Endovascular Specialists (ISEVS), the Journal of Endovascular Therapy publishes peer-reviewed articles of interest to clinicians and researchers in the field of peripheral endovascular interventions.