Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
ISSN-L : 1346-9843
Reviews
Current Status and Trends in the Treatment of Acute Pulmonary Thromboembolism
Norikazu YamadaMashio NakamuraMasaaki Ito
著者情報
ジャーナル フリー

2011 年 75 巻 12 号 p. 2731-2738

詳細
抄録
Untreated acute pulmonary thromboembolism (APTE) is associated with high mortality, which is reduced by prompt treatment. Anticoagulation is fundamental in the treatment of APTE and should be initiated from suspicion. The efficacy and safety of novel anticoagulant drugs, such as oral anti-Xa and anti-IIa inhibitors, are topics in the treatment of APTE and are now under investigation. Thrombolytic therapy is a widely accepted treatment strategy for massive APTE, but its use for submassive APTE is controversial. Catheter intervention, percutaneous cardiopulmonary support and surgical embolectomy are also necessary and effective for some patients with APTE. A retrievable inferior vena cava filter is preferred for transient protection against APTE. Some studies have demonstrated the feasibility of outpatient treatment in patients with APTE after risk stratification. (Circ J 2011; 75: 2731-2738)
著者関連情報
© 2011 THE JAPANESE CIRCULATION SOCIETY
前の記事 次の記事
feedback
Top