First application of ultrasound-assisted thrombolysis for acute, submassive pulmonary embolism in a pregnant patient
Journal Title: Journal of Clinical and Interventional Cardiology - Year 2017, Vol 2, Issue 1
Abstract
We describe the first reported case in the peer-reviewed literature, in which ultrasound-assisted thrombolysis (USAT) for high risk, submassive pulmonary embolism (PE) was successfully utilized in a first trimester, pregnant patient (12 weeks gestation), wherein she successfully carried twins to term and underwent uncomplicated cesarean section. By reducing the required dose of fibrinolytic, this report demonstrates the use of USAT as a potentially safe and effective treatment modality for reducing clot burden and rapidly reversing right ventricular dysfunction in this difficult clinical scenario.
Authors and Affiliations
Kalathiya R, Conway BD, Blair JA, Paul J, Shah AP, Ismail M, Nathan S
PCI for in-stent restenosis in a patient with acute coronary syndrome, cardiogenic shock and thrombocytopenia secondary to myelodysplastic syndrome
Cardiogenic shock occurs in 2.5% patients with non ST elevation myocardial infarction as compared to 5-8% of patients with ST elevation myocardial infarction. Percutaneous coronary intervention for ischemia related cardi...
Effects of coronary revascularization on T-wave amplitude variability in patients with non ST elevated acute myocardial infarction
Introduction: T-wave amplitude variability (TAV) is a noninvasive index of beat-to-beat variations in ventricular repolarization. Aim of the study was to evaluate whether this parameter might reflect the changes in ventr...
Long term follow-up post catheter intervention for critical pulmonary valve stenosis and atresia with intact ventricular septum: A 25-year single institutional experience utilizing various techniques
Objective: Compare various catheter based interventions for critical pulmonary stenosis (PS) and pulmonary atresia with intact ventricular septum without right ventricular dependent coronary circulation (PA) regarding ou...
First application of ultrasound-assisted thrombolysis for acute, submassive pulmonary embolism in a pregnant patient
We describe the first reported case in the peer-reviewed literature, in which ultrasound-assisted thrombolysis (USAT) for high risk, submassive pulmonary embolism (PE) was successfully utilized in a first trimester, preg...
Novel approaches to percutaneous intervention in stage IV kidney disease
Coronary artery disease (CAD) is common in patients with chronic kidney disease (CKD). We report the case of a 53-year-old diabetic male with stage IV CKD who presented to the emergency department with unstable angina. H...