Two-edged Knife: Massive Pulmonary Embolism and Thrombolytic Contraindication

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dc.contributor.authorKandemir, Serif
dc.contributor.authorTatar, Sefa
dc.contributor.authorIcli, Abdullah
dc.contributor.authorSertdemir, Ahmet
dc.contributor.authorAkilli, Hakan
dc.date.accessioned2024-02-23T14:34:53Z
dc.date.available2024-02-23T14:34:53Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Pulmonary embolism is a common cause of death among emergency department admissions, and it has a high mortality and morbidity rate. Etiological reasons are generally associated with immobility. Radiological imaging methods are at the forefront in diagnosis. Anticoagulant and thrombolytic therapy may be preferred in treatment according to the hemodynamic condition of the patient. Case Report: A 56-year-old female patient admitted to the emergency department with sudden onset of dyspnea and syncope with a condition of cardiogenic shock, and echocardiography revealed an enlargement of the right heart chambers and impaired functions, and a tomography was performed with the pre-diagnosis of pulmonary embolism. When systemic thrombolytic therapy was contraindicated in the patient who had embolism on tomography, catheter-based thrombectomy and selective low-dose thrombolytic therapy to the pulmonary artery were administered. The patient, who became hemodynamically stable and his shock condition improved, was discharged with anticoagulant therapy. Conclusion: When left untreated, pulmonary embolism is a disease with a high mortality rate. Although systemic thrombolytic treatments are contraindicated in some patients, successful results can be obtained with locally effective interventional treatments in these patient groups.en_US
dc.identifier.doi10.33706/jemcr.790114
dc.identifier.endpage107en_US
dc.identifier.issn2149-9934
dc.identifier.issue4en_US
dc.identifier.startpage104en_US
dc.identifier.urihttps://doi.org/10.33706/jemcr.790114
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15795
dc.identifier.volume11en_US
dc.identifier.wosWOS:000605752400006en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherEmergency Medicine Physicians Assoc Turkeyen_US
dc.relation.ispartofJournal Of Emergency Medicine Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPulmonary Embolismen_US
dc.subjectCatheter-Based Thrombolysisen_US
dc.subjectThrombolytic Therapyen_US
dc.titleTwo-edged Knife: Massive Pulmonary Embolism and Thrombolytic Contraindicationen_US
dc.typeArticleen_US

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