Mechanical Support in High-Risk Pulmonary Embolism: Review Article.
Document Type
Article
Publication Date
4-24-2024
Publication Title
Journal of Clinical Medicine
Abstract
Acute pulmonary embolism (PE) may manifest with mild nonspecific symptoms or progress to a more severe hemodynamic collapse and sudden cardiac arrest. A substantial thrombotic burden can precipitate sudden right ventricular strain and failure. Traditionally, systemic thrombolytics have been employed in such scenarios; however, patients often present with contraindications, or these interventions may prove ineffective. Outcomes for this medically complex patient population are unfavorable, necessitating a compelling argument for advanced therapeutic modalities or alternative approaches. Moreover, patients frequently experience complications beyond hemodynamic instability, such as profound hypoxia and multiorgan failure, necessitating assertive early interventions to avert catastrophic consequences. The existing data on the utilization of mechanical circulatory support (MCS) devices are not exhaustive. Various options for percutaneous MCS devices exist, each possessing distinct advantages and disadvantages. There is an imminent imperative to develop a tailored approach for this high-risk patient cohort to enhance their overall outcomes.
Volume
13
Issue
9
First Page
2468
Recommended Citation
Kadri AN, Alrawashdeh R, Soufi MK, Elder AJ, Elder Z, Mohamad T, et al. [Elder M]. Mechanical support in high-risk pulmonary embolism: review article. J Clin Med. 2024 Apr 24;13(9):2468. doi: 10.3390/jcm13092468. PMID: 38730997.
DOI
10.3390/jcm13092468
ISSN
2077-0383
PubMed ID
38730997
