Staged Ultrasound-Assisted Catheter-Directed Thrombolysis for Bilateral Pulmonary Embolism: “All with one Catheter-Technique”
Journal Title: International Journal of Vascular Surgery and Medicine - Year 2016, Vol 2, Issue 1
Abstract
A 70-year-old male presented with two days increasing dyspnea. His past medical history was notable for deep venous thrombosis with consecutive pulmonary embolism (PE). Diagnostic workup showed normal blood pressure (130/80mmHg), sinus tachycardia with SIQIII-pattern on electrocardiogram, and elevation of troponin (0.22ng/nl). Immediate chest computed tomography (CT) demonstrated PE in both pulmonary arteries (PA) and right ventricular (RV) dilation compatible with PE of intermediate-high risk for early mortality (Figure 1).
Authors and Affiliations
Ibrahim Tareq, Dommasch Michael, Wildgruber Moritz, Laugwitz Karl-Ludwig
Keywords
Related Articles
- EP ID EP347040
- DOI 10.17352/2455-5452.000009
- Views 77
- Downloads 0
Celiac Arterioenteric Fistula after Open Repair of Celiac Artery Aneurysm – Case Report
In a patient with a known history of aortic surgery, presence of upper gastrointestinal bleeding requires a high index suspicion for the possibility of aorto-enteric fistula. Aorto-enteric fistula is an uncommon but know...
Atraumatic Acute Limb Ischemia: Clinical Presentation, Classification, Assessment and Management- A Review
Acute Limb Ischaemia (ALI) can be a devastating clinical emergency with potentially life or limb threatening consequences. The commonest aetiologies of ALI are traumatic, embolic or thrombotic. While traumatic ALI is fai...
19 Years Old Male with ST Elevation Myocardial Infarction as an Initial Manifestation of Primary Antiphospholipid Syndrome
Primary Antiphospholipid antibody syndrome is a rare disease associated with thromboembolic events which may affect either the arterial or the venous vasculature.Acute myocardial infarction is rarely associated with APS,...
Lower Extremity Venous Ablation as a Treatment Modality for Refractory Lichen Simplex Chronicus and Generalized Pruritus
Introduction: Lichen simplex chronicus (LSC) is a skin condition characterized by thick, leathery, scaly and extremely itchy patches of skin. It is a common pathology (up to 12% of population) with significant effect on...
Management of a Common Iliac Artery Aneurysm Causing Contralateral Iliac Venous Thrombosis
A 73-year-old male patient was diagnosed with thrombotic obstruction of the left common iliac vein (LCIV). Computed tomography imaging revealed a known -under follow-up- isolated aneurysm of the right common iliac artery...