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Emergent Z Stent Placement for Treatment of Cor Pulmonale Due to Pulmonary Emboli After Failed Lytic Treatment: Technical Considerations

Journal Article · · Cardiovascular and Interventional Radiology
DOI:https://doi.org/10.1007/S002709900257· OSTI ID:21080401
;  [1]; ; ; ; ;  [2]
  1. Department of Radiology, National Defense Medical College, 3-2, Tokorozawa-city, Saitama prefecture 359 (Japan)
  2. First Department of Internal Medicine, National Defense Medical College, 3-2, Tokorozawa-city, Saitama prefecture 359 (Japan)
A patient with a pulmonary embolism due to deep vein thrombosis of a lower extremity developed hypotension and cor pulmonale despite prior placement of an inferior vena caval filter and treatment with a thrombolytic agent. After failure of percutaneous guidewire fragmentation and thrombosuction, self-expandable bilateral Z stents were positioned into the lower branches through the pulmonary arterial trunks. The patient experienced immediate relief of her cor pulmonale and successful recovery from hypotension.
OSTI ID:
21080401
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 21; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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