Inferior Vena Cava Filter is a New Additional Therapeutic Option to Reduce Mortality From Acute Pulmonary Embolism
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- Sakuma Masahito
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Nakamura Mashio
- First Department of Internal Medicine, Mie University
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- Nakanishi Norifumi
- Department of Internal Medicine, National Cardiovascular Center
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- Miyahara Yoshiyuki
- Department of Internal Medicine, Sumida Shuko-en Facility
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- Tanabe Nobuhiro
- Kanto Central Hospital
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- Yamada Norikazu
- First Department of Internal Medicine, Mie University
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- Kuriyama Takayuki
- Kanto Central Hospital
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- Kunieda Takeyoshi
- Department of Internal Medicine, Sumida Shuko-en Facility
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- Sugimoto Tsuneaki
- Kanto Central Hospital
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- Nakano Takeshi
- First Department of Internal Medicine, Mie University
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- Shirato Kunio
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Background There are few reports that examine the current imaging and management techniques according to the severity of acute pulmonary embolism (APE) or that clarify whether the management strategy ameliorated the mortality from APE. Methods and Results The study group were 456 patients with APE who were clinically diagnosed before their death. The severity at diagnosis, and the imaging and management techniques were analyzed. Mortality from APE was 0.8% in patients without shock nor right ventricular overload, 2.7% in patients with right ventricular overload without shock, 15.6% in patients with shock, and 52.4% in patients with cardiopulmonary arrest (p<0.0001). In the more severe cases, pulmonary angiography and trans-thoracic echocardiography were used more frequently, whereas both ventilation and perfusion lung scans were used less frequently. Computed tomography was used widely, regardless of the severity. Thrombolytic therapy and catheter therapy were used more frequently in the more severe cases, but an inferior vena cava filter was the only management strategy that reduced the mortality from APE. Conclusions The severity of APE at diagnosis affected the selection of both the diagnostic techniques and the type of management. Implantation of inferior vena cava filters reduced the mortality from APE. (Circ J 2004; 68: 816 - 821)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 68 (9), 816-821, 2004
一般社団法人 日本循環器学会
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詳細情報
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- CRID
- 1390001205102934272
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- NII論文ID
- 110002667588
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BD2cvitlyisQ%3D%3D
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- ISSN
- 13474820
- 13469843
- http://id.crossref.org/issn/13469843
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- PubMed
- 15329501
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 使用不可