Catheter-Based Interventions: Difference between revisions
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==Overview== | ==Overview== | ||
Catheter based intervention is a means of opening blocked arteries. These includes percutaneous intervention for removing pulmonary emboli and decreasing thrombus burden. These are of following types: | |||
# Aspiration [[thrombectomy]] | |||
# [[Thrombus]] fragmentation | |||
# [[Rheolytic thrombectomy]]. | |||
==Indications== | |||
Transcatheter procedures can be performed as an alternative to thrombolysis when | Transcatheter procedures can be performed as an alternative to thrombolysis when | ||
*Thrombolysis is contraindications | *Thrombolysis is contraindications | ||
*When emergency surgical thrombectomy is unavailable or contraindicated. | *When emergency surgical thrombectomy is unavailable or contraindicated. | ||
*when thrombolysis has failed to improve hemodynamics in the acute setting. | *when thrombolysis has failed to improve hemodynamics in the acute setting. | ||
==Therapeutic Goal== | |||
The goals of catheter-based therapy include | |||
#Rapidly reducing pulmonary artery pressure, RV strain, and pulmonary vascular resistance (PVR) | |||
#Increasing systemic perfusion | |||
#Facilitating RV recovery. | |||
Revision as of 20:40, 31 October 2011
Pulmonary Embolism Microchapters |
Diagnosis |
---|
Pulmonary Embolism Assessment of Probability of Subsequent VTE and Risk Scores |
Treatment |
Follow-Up |
Special Scenario |
Trials |
Case Studies |
Catheter-Based Interventions On the Web |
Directions to Hospitals Treating Catheter-Based Interventions |
Risk calculators and risk factors for Catheter-Based Interventions |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]
Synonyms and keywords: PE
Overview
Catheter based intervention is a means of opening blocked arteries. These includes percutaneous intervention for removing pulmonary emboli and decreasing thrombus burden. These are of following types:
- Aspiration thrombectomy
- Thrombus fragmentation
- Rheolytic thrombectomy.
Indications
Transcatheter procedures can be performed as an alternative to thrombolysis when
- Thrombolysis is contraindications
- When emergency surgical thrombectomy is unavailable or contraindicated.
- when thrombolysis has failed to improve hemodynamics in the acute setting.
Therapeutic Goal
The goals of catheter-based therapy include
- Rapidly reducing pulmonary artery pressure, RV strain, and pulmonary vascular resistance (PVR)
- Increasing systemic perfusion
- Facilitating RV recovery.