TROMBOLISIS GUIADA POR CATÉTER EN EL MANEJO DEL TROMBOEMBOLISMO PULMONAR AGUDO MASIVO Y SUBMASIVO
Castro Alvarado Gabriel MD1 Salazar Mayorga Juliana MD2
- Residente de cirugía vascular. Hospital México, San José, Costa Rica
- Médico general. Universidad de Costa Rica
Catheter-directed trombolysis for acute massive and submassive pulmonary embolism.Abstract Pulmonary embolism (PE) is a frequent condition that represents high morbidity and mortality for patients and confers an important risk factor for developing right ventricular dysfunction and pulmonary hypertension, a clinical entity that results in severe disability for patients. Although the treatment of choice for massive PE is systemic fibrinolysis, there are multiple endovascular interventions that have been shown to decrease ventricular function and the rate of associated hemorrhagic complications, which will be analyzed in this review in order to determine the most appropriate alternatives for the different clinical scenarios that occur in acute PE. Key Words: Pulmonary embolism; right ventricular dysfunction; mechanical trombolisis.
Autor de Correspondencia:
Gabriel Castro, email: email@example.com
Recibido: 27-07-2019. Aceptado para publicación: 10-09-2019