医学
溶栓
肺栓塞
加药
心脏病学
重症监护医学
内科学
心肌梗塞
作者
Adrian Rojas Murguia,Debabrata Mukherjee,C. S. P. Ojha,Manu Rajachandran,Tariq Siddiqui,Nils P. Nickel
出处
期刊:Angiology
[SAGE]
日期:2023-04-15
卷期号:: 000331972311670-000331972311670
被引量:1
标识
DOI:10.1177/00033197231167062
摘要
Pulmonary embolism (PE) is the third-leading cause of cardiovascular mortality and the second-leading cause of death in cancer patients. The clinical efficacy of thrombolysis for acute PE has been proven, yet the therapeutic window seems narrow, and the optimal dosing for pharmaceutical reperfusion therapy has not been established. Higher doses of systemic thrombolysis inevitably associated with an incremental increase in major bleeding risk. To date, there is no high-quality evidence regarding dosing and infusion rates of thrombolytic agents to treat acute PE. Most clinical trials have focused on thrombolysis compared with anticoagulation alone, but dose-finding studies are lacking. Evidence is now emerging that lower-dose thrombolytic administered through a peripheral vein is efficacious in accelerating thrombolysis in the central pulmonary artery and preventing acute right heart failure, with reduced risk for major bleeding. The present review will systematically summarize the current evidence of low-dose thrombolysis in acute PE.
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