Controversies in massive pulmonary embolism

Mercado M.; Aizman A.; Andresen M.

Abstract

Massive pulmonary embolism (PE) is,associated with high mortality. There is still a broad assortment of severity classifications for patients with PE, which affects the choice of therapies to use. The main clinical criteria for defining a PE as massive is systemic arterial hypotension, which depends on the extent of vascular obstruction and the previous cardiopulmonary status. Right ventricular dysfunction is an important pathogenic element to define the severity of patients and short term clinical prognosis. The recommended treatment is systemic thrombolysis, but in centers with experience and resources, radiological invasive therapies through catheters are useful alternatives that can be used as first choice tools in certain cases.

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Título según WOS: Controversies in massive pulmonary embolism
Título de la Revista: REVISTA MEDICA DE CHILE
Volumen: 141
Número: 4
Editorial: SOC MEDICA SANTIAGO
Fecha de publicación: 2013
Página de inicio: 486
Página final: 494
Idioma: Spanish
Notas: ISI