Inhaled nitric oxide as an adjunct to suction thrombectomy for pulmonary embolism

被引：10

作者：

Faintuch, S

Lang, EV

Cohen, RI

Pinto, DS

机构：

[1] Harvard Univ, Sch Med, Dept Radiol, Boston, MA 02215 USA

[2] Harvard Univ, Sch Med, Dept Anesthesia, Boston, MA 02215 USA

[3] Harvard Univ, Sch Med, Dept Cardiol, Boston, MA 02215 USA

[4] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2004年 / 15卷 / 11期

关键词：

D O I：

10.1097/01.RVI.0000137979.63175.B6

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Pulmonary suction thrombectomy can be a successful interventional tool in the treatment of pulmonary thromboembolism. Removal of clot burden typically results in prompt recovery of hemodynamic stability and improved oxygenation. However, in rare cases, clot removal does not sufficiently improve the clinical situation. Herein, two patients with massive pulmonary thromboembolism are presented whose condition improved only after they received nitric oxide as an adjunct to pulmonary suction thrombectomy. The treatment with this inhalable vasodilator was based on the hypothesis that prolonged ischemia had induced microcirculatory vasospasm, persistent after removal of the central clot.

引用

收藏

页码：1311 / 1315

页数：5

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