Thrombolysis and mechanical fragmentation to treat massive pulmonary embolism in a patient with an anterior communicating artery aneurysm

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dc.authoridKutlu, Ramazan/0000-0001-7941-7025
dc.authorwosidSaraç, Kaya/ABI-1091-2020
dc.authorwosidKutlu, Ramazan/AAE-5219-2020
dc.contributor.authorKutlu, R
dc.contributor.authorAlkan, A
dc.contributor.authorKocak, A
dc.contributor.authorSarac, K
dc.date.accessioned2024-08-04T20:13:27Z
dc.date.available2024-08-04T20:13:27Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: To describe successful management of massive pulmonary embolism suffered by a patient with an unsecured intracranial aneurysm. Case Report. An anterior communicating artery aneurysm was found 10 days after a 50-year-old woman was admitted to the intensive care unit with subarachnoid hemorrhage. The patient developed severe acute dyspnea before planned surgery; imaging demonstrated thrombus in the right and left pulmonary arteries. Heparin was contraindicated, so an emergent coil embolization procedure was undertaken. In the same session, recombinant tissue plasminogen activator was administered directly into the thrombus. After 2 hours of thrombolysis and intermittent mechanical fragmentation, lung perfusion improved, and the patient's symptoms abated. Conclusions: Mechanical fragmentation together with fibrinolytic agent administration is a safe and effective treatment for pulmonary embolism after securing cerebral aneurysms.en_US
dc.identifier.doi10.1583/1545-1550(2003)010<0332:TAMFTT>2.0.CO;2
dc.identifier.endpage335en_US
dc.identifier.issn1526-6028
dc.identifier.issue2en_US
dc.identifier.pmid12877618en_US
dc.identifier.scopus2-s2.0-0043234265en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage332en_US
dc.identifier.urihttps://doi.org/10.1583/1545-1550(2003)010<0332:TAMFTT>2.0.CO;2
dc.identifier.urihttps://hdl.handle.net/11616/93611
dc.identifier.volume10en_US
dc.identifier.wosWOS:000184764900024en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAlliance Communications Group Division Allen Pressen_US
dc.relation.ispartofJournal of Endovascular Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectanterior communicating arteryen_US
dc.subjectcerebral aneurysmen_US
dc.subjectcoil embolizationen_US
dc.subjectcomplicationen_US
dc.subjectpulmonary embolismen_US
dc.subjectmechanical fragmentationen_US
dc.subjectthrombolysisen_US
dc.subjectrecombinant tissue plasminogen activatoren_US
dc.titleThrombolysis and mechanical fragmentation to treat massive pulmonary embolism in a patient with an anterior communicating artery aneurysmen_US
dc.typeArticleen_US

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