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| {{Pulmonary embolism}}
| | #REDIRECT [[Pulmonary embolism catheter based interventions]] |
| {{CMG}}
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| '''Associate Editors-in-Chief:''' [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]] [mailto:urastogi@perfuse.org]
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| '''''Synonyms and keywords:''''' PE
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| ==Overview==
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| Catheter based intervention is a means of opening blocked arteries. These includes percutaneous intervention for removing pulmonary emboli and decreasing thrombus burden. Following three methods are adopted:
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| # Aspiration [[thrombectomy]]:uses sustained suction force to secure and remove the thrombus. | |
| # [[Rheolytic thrombectomy]]:use a saline jet (high-velocity) to fragment thrombus. It creates a Venturi effect and removes the debris into an evacuation lumen.
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| # [[Thrombus]] fragmentation
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| ==Indications==
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| Transcatheter procedures can be performed as an alternative to thrombolysis when
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| *Thrombolysis is contraindications
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| *When emergency surgical thrombectomy is unavailable or contraindicated.
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| *when thrombolysis has failed to improve hemodynamics in the acute setting.
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| ==Therapeutic Goal==
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| The goals of catheter-based therapy include
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| #Rapidly reducing pulmonary artery pressure, RV strain, and pulmonary vascular resistance (PVR)
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| #Increasing systemic perfusion
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| #Facilitating RV recovery.
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| ==References==
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| {{reflist|2}}
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| [[Category:Cardiology]]
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| [[Category:Hematology]]
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| [[Category:Pulmonology]]
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| [[Category:Emergency medicine]]
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| {{WH}}
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| {{WS}}
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