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. 2023 Sep 30;27(10):557-566.
doi: 10.14744/AnatolJCardiol.2023.3639. Epub 2023 Aug 21.

Current Insights for Catheter-Directed Therapies in Acute Pulmonary Embolism: Systematic Review and Our Single-Center Experience

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Current Insights for Catheter-Directed Therapies in Acute Pulmonary Embolism: Systematic Review and Our Single-Center Experience

Cihangir Kaymaz et al. Anatol J Cardiol. .

Abstract

In this review, the current status of the worldwide experience on different catheter-directed treatment systems utilized as alternative reperfusion methods in acute pulmonary-embolism was evaluated, and the risk stratification algorithms in which catheter-directed treatments may be implemented, source of evidence in this setting, adjudication of benefits and risks of available techniques, and innovative multidisciplinary frameworks for referral patterns and care delivery were discussed. Moreover, our perspectives on risk-based catheter-directed treatment utilization strategies in acute pulmonary embolism were summarized.

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Figures

Figure 1.
Figure 1.
Essentials of decision-making for catheter-directed treatment in acute pulmonary embolism comprising the predictors of cardiopulmonary, metabolic and systemic deterioration, and risk of major bleeding.
Figure 2.
Figure 2.
CDT trials in acute pulmonary embolism.
Figure 3.
Figure 3.
Absolute reductions in RV/LV diameter ratio and percentage reductions in obstruction scores reported in catheter-directed thrombolysisand catheter-directed thrombolysis series.
Figure 4.
Figure 4.
Flowchart for catheter-directed treatment in with acute pulmonary embolism at high risk and intermediate-high risk.

Comment in

  • Preventive Cardiology and New Methods.
    Erol Ç. Erol Ç. Anatol J Cardiol. 2023 Oct;27(10):556. doi: 10.14744/AnatolJCardiol.2023.10. Anatol J Cardiol. 2023. PMID: 37776104 Free PMC article. No abstract available.

References

    1. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): the Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Respir J. 2019;54(3):1901647. (10.1183/13993003.01647-2019) - DOI - PubMed
    1. Qanadli SD, El Hajjam M, Vieillard-Baron A, et al. New CT index to quantify arterial obstruction in pulmonary embolism: comparison with angiographic index and echocardiography. AJR Am J Roentgenol. 2001;176(6):1415 1420. (10.2214/ajr.176.6.1761415) - DOI - PubMed
    1. Barco S, Vicaut E, Klok FA, et al. Improved identification of thrombolysis candidates amongst intermediate-risk pulmonary embolism patients: implications for future trials. Eur Respir J. 2018;51(1):1701775. (10.1183/13993003.01775-2017) - DOI - PubMed
    1. Türkday Derebey S, Tokgöz HC, Keskin B, et al. A new index for the prediction of in-hospital mortality in patients with acute pulmonary embolism: the modified shock index. Anatol J Cardiol. 2023;27(5):282 289. (10.14744/AnatolJCardiol.2023.2530) - DOI - PMC - PubMed
    1. Hakgör A, Tokgöz Demircan HC, Keskin B, et al. A novel composed index to evaluate the right ventricle free-wall adaptation against ventricular wall stress in acute pulmonary embolism [published online ahead of print, 2023 Jun 7]. Anatol J Cardiol. 2023;27(7):423 431. (10.14744/AnatolJCardiol.2023.2677) - DOI - PMC - PubMed

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