Reperfusion in acute pulmonary thromboembolism

ABSTRACT Acute pulmonary thromboembolism (APTE) is a highly prevalent condition (104-183 cases per 100,000 person-years) and is potentially fatal. Approximately 20% of patients with APTE are hypotensive, being considered at high risk of death. In such patients, immediate lung reperfusion is necessary in order to reduce right ventricular afterload and to restore hemodynamic stability. To reduce pulmonary vascular resistance in APTE and, consequently, to improve right ventricular function, lung reperfusion strategies have been developed over time and widely studied in recent years. In this review, we focus on advances in the indication and use of systemic thrombolytic agents, as well as lung reperfusion via endovascular and classical surgical approaches, in APTE.

Bibliographic Details

Main Authors:	Fernandes,Caio Julio Cesar dos Santos, Jardim,Carlos Vianna Poyares, Alves Jr,José Leonidas, Oleas,Francisca Alexandra Gavilanes, Morinaga,Luciana Tamie Kato, Souza,Rogério de
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Pneumologia e Tisiologia 2018
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132018000300237
Tags:	Add Tag No Tags, Be the first to tag this record!