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KMID : 0370920140310010028
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Yeungnam Univercity Journal of Medicine
2014 Volume.31 No. 1 p.28 ~ p.32
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Treatment of pulmonary thromboembolism using Arrow-Trerotola percutaneous thrombolytic device
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Kim Tae-Kyun
Park Ji-Young
Bae Jun-Ho
Choi Jae-Woong
Ryu Sung-Kee
Kim Min-Jung
Kim Jun-Bong
Sohn Jang-Won
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Abstract
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Pulmonary thromboembolism (PTE) increases the pressure of the right ventricle and leads to symptoms and signs, such as dyspnea and hypoxia. If PTE causes hemodynamic instability, thrombolytic therapy should be considered. A mechanical thrombectomy is an alternative treatment to thrombolytic therapy and should be considered when thrombolytic therapy is contraindicated. Various devices are used in mechanical maceration and catheter-directed thrombolysis, but there is no standard mechanical device for PTE as yet. We report here on 2 clinical experiences of mechanical thrombectomy using the Arrow-Trerotola percutaneous thrombolytic device to remove residual clots after systemic thrombolysis in patients with massive PTE.
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KEYWORD
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Pulmonary embolism, Mechanical thrombectomy, Trerotola
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