Successful selective thrombolisis in massive pulmonary embolism in right and left pulmonary arteries

Authors: Gafurov F.S., Markitan S.V., Belyakov G.A., Madaminov I.Ya.

Company: Egor'evsk Central Regional Hospital, Egor'evsk, Moscow Region, 140301, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2020-14-3-287-293

For citation: Gafurov F.S., Markitan S.V., Belyakov G.A., Madaminov I.Ya. Successful selective thrombolisis in massive pulmonary embolism in right and left pulmonary arteries. Creative Cardiology. 2020; 14 (3): 287–93 (in Russ.). DOI: 10.24022/1997-3187-2020-14-3-287-293

Received / Accepted:  04.09.2020 / 10.09.2020

Keywords: thromboembolism pulmonary arteries atrial fibrillation thrombolysis

Full text:  

 

Abstract

Pulmonary embolism (PE) is one of the most severe and unfavorable diseases, and ranks third in the frequency of mortality in the structure of hospitalized patients with acute cardiovascular disease. Currently, the following treatment methods are used: thrombolysis (intravenous and/or selective), open surgical embolectomy, and x-ray endovascular intervention. The active introduction of endovascular techniques forces clinicians to optimize existing diagnostic and therapeutic approaches to the treatment of PE. At the moment, there are still no recommendations of the level 1 of evidence regarding the indications, safety and effectiveness of catheter-directed therapy for pulmonary embolism. This report presents a clinical case of successful application of selective thrombolysis in the treatment of a patient with massive bilateral acute PE who was in a critical condition. Thrombolysis was performed through a JR catheter installed in the trunk of the pulmonary artery using the drug actilize. According to the control angiography through the day – right and left pulmonary artery is completely passable. The method of selective thrombolysis for massive pulmonary embolism is an effective and safe method of treatment, and may be the method of choice in patients in critical condition.

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About Authors

  • Furkatdzhon S. Gafurov, Cand. Med. Sc., Head of Department,ORCID
  • Sergey V. Markitan, Chief Physician
  • Gennadiy A. Belyakov, Cand. Med. Sc., Head of Department
  • Ikromidin Ya. Madaminov, Specialist in Endovascular Diagnosis and Treatment

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery