Persistent pulmonary hypertension and right ventricular function after percutaneous mechanical thrombectomy in severe acute pulmonary embolism

[摘要] ExtractAcute pulmonary embolism is one of the main causes of death; morbidity and hospitalisation [1; 2]. The most common cause of early death in these patients is right ventricular failure [1xe2x80x933]. Complete resolution of the pulmonary thrombus at 6xe2x80x85months of evolution is not achieved in 57% of patients; with persistent right ventricular dysfunction (RVD) in 6xe2x80x938% of patients and persistent pulmonary arterial hypertension (PAH) in 7xe2x80x9313.5% of patients who received treatment with heparin or fibrinolytic agents [4xe2x80x938]. Percutaneous mechanical thrombectomy (PMT) is accepted as a treatment in patients with high-risk acute pulmonary embolism with contraindications to systemic thrombolysis or when the treatment has failed [1; 2; 9].

[学科分类] 呼吸医学