Acute-on-Chronic Massive Pulmonary Embolism Treated With 3-Loop Snare

• Hsu Jen Te

  Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chang Gung University College of Medicine

• Nakamura Shigeru

  Cardiovascular Center, Kyoto Katsura Hospital

• Yamamoto Ryuji

  Cardiovascular Center, Kyoto Katsura Hospital

• Kobayashi Tomoko

  Cardiovascular Center, Kyoto Katsura Hospital

• Funatsu Atsushi

  Cardiovascular Center, Kyoto Katsura Hospital

• Enjoji Yoshihisa

  Cardiovascular Center, Kyoto Katsura Hospital

• Mizobuchi Masahiro

  Cardiovascular Center, Kyoto Katsura Hospital

• Hori Masaki

  Cardiovascular Center, Kyoto Katsura Hospital

• Miyamoto Chinae

  Cardiovascular Center, Kyoto Katsura Hospital

抄録

A 70-year-old man presented with acute massive pulmonary embolism (PE). His clinical condition deteriorated despite regular heparin and thrombolytic agent treatment, and he eventually developed cardiogenic shock. A thrombus originating from the inferior vena cava was detected and acute-on-chronic embolization resulted, with an unusual clinical course. Aggressive catheter thrombectomy with pigtail rotation failed to fragment the organized thrombus, but it was successfully removed by a 3-loop snare device combined with guiding catheter under percutaneous cardiopulmonary support. (Circ J 2008; 72: 1909 - 1913)<br>

収録刊行物

• Circulation Journal

  Circulation Journal 72 (11), 1909-1913, 2008

  一般社団法人 日本循環器学会

キーワード

• Acute pulmonary embolism
• Catheter thrombectomy
• Inferior vena cava
• Intravascular ultrasound
• Snare

詳細情報

• CRID: 1390001205104109056
• NII論文ID: 110006975589
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-07-0854
• ISSN: 13474820
• ISSN: 13469843
• Web Site: http://www.jstage.jst.go.jp/article/circj/72/11/72_CJ-07-0854/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2009066181
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可