| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2019-03-08 |
| タイトル |
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|
タイトル |
Management of Pulmonary Thromboembolism Based on Severity and Vulnerability to Thrombolysis |
| 言語 |
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言語 |
eng |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Fukuda, Wakako
Taniguchi, Satoshi
Fukuda, Ikuo
Chiyoya, Mari
Aoki, Chikashi
Kondo, Norihiro
Hattori, Kaoru
Daitoku, Kazuyuki
Kowatari, Ryosuke
Minakawa, Masahito
Suzuki, Yasuyuki
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| 著者所属 |
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Hirosaki Univ, Grad Sch Med, Dept Thorac & Cardiovasc Surg |
| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background: The incidence of pulmonary thromboembolism has been considered rare in Japan. However, its occurrence has been increasing because of westernized lifestyle and diet, increased diagnostic technique, and recognition of this disease.
Method: Between January 2003 and September 2014, 179 patients were treated for pulmonary thromboembolism. We classified these patients into 3 groups; Massive (n=35), Sub-massive (n=29) and Nonmassive (n=115) and retrospectively reviewed the treatment options and the outcome.
Results: Percutaneous cardiopulmonary support (PCPS) was applied for patients with hemodynamic instability and IVC filter was inserted if there was proximal DVT. In non-massive group (n=115), 95.7% of the patient underwent anticoagulant therapy and 47.0% of the patients received IVC filter. In submassive group (n=29), 48.3% of the patient received thrombolytic therapy and 93.1% of the patient underwent IVC filter insertion. Surgical pulmonary embolectomy was performed in 3 patients who had high risk of thrombolytic therapy in submassive group. There was no death in this group. In massive group, 4 patients who had cardiogenic shock died in acute phase. PCPS was applied in 5 patients, pulmonary embolectomy was performed in 13 patients, thrombolytic therapy was performed in 4 patients and 13 patients underwent anticoagulant therapy alone. There were 7 deaths (20.0%) in this group.
Conclusions: In submassive group, treatment should be decided depending on the bleeding risk. In massive group, pulmonary embolectomy was effective. |
| 書誌情報 |
ANNALS OF VASCULAR DISEASES
巻 10,
号 4,
p. 371-377,
発行日 2017
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| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1881-641X |
| DOI |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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関連識別子 |
10.3400/avd.oa.17-00105 |
| 著者版フラグ |
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出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 資源タイプ |
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|
値 |
Article |
Ann_Vasc_Dis_371-377 (495.6 kB)
