For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
2
views
66
references
 Top references
cited by
3
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      612
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Current Endovascular Treatment Options in Acute Pulmonary Embolism

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Acute pulmonary embolism (PE) is a significant cause of mortality and morbidity across the globe. Over the last few decades, there have been major therapeutic advances in acute PE management, including catheter-based therapy. However, the effectiveness of catheter-based therapy in acute PE is not supported by Level I evidence, making the use of this promising treatment rather controversial and ambiguous. In this paper, we discuss the risk stratification of acute PE and review the medical and endovascular treatment options. We also summarize and review the data supporting the use of endovascular treatment options in acute PE and describe the potential role of the PE response team.

          Related collections

          Most cited references66

          • Record: found
          • Abstract: found
          • Article: not found

          Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report.

          Clive Kearon, Elie A. Akl, Joseph Ornelas … (2016)
          We update recommendations on 12 topics that were in the 9th edition of these guidelines, and address 3 new topics.
          Article 0 comments Cited 706 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism.

            Stavros V Konstantinides, Adam Torbicki, Giancarlo Agnelli … (2014)
            Article 0 comments Cited 695 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER)

              S Z Goldhaber, L Visani, M. De Rosa (1999)
              Pulmonary embolism (PE) remains poorly understood. Rates of clinical outcomes such as death and recurrence vary widely among trials. We therefore established the International Cooperative Pulmonary Embolism Registry (ICOPER), with the aim of identifying factors associated with death. 2454 consecutive eligible patients with acute PE were registered from 52 hospitals in seven countries in Europe and North America. The primary outcome measure was all-cause mortality at 3 months. The prognostic effect of baseline factors on survival was assessed with multivariate analyses. 2110 (86.0%) patients had PE proven by necropsy, high-probability lung scan, pulmonary angiography, or venous ultrasonography plus high clinical suspicion; ICOPER accepted without independent review diagnoses and interpretation of imaging provided by participating centres; 3-month follow-up was completed in 98.0% of patients. The overall crude mortality rate at 3 months was 17.4% (426 of 2454 deaths, including 52 patients lost to follow-up): 179 of 397 (45.1%) deaths were ascribed to PE and 70 of 397 (17.6%) to cancer, and no information on the cause of death was available for 29 patients. After exclusion of 61 patients in whom PE was first discovered at necropsy, the mortality rate at 3 months was 15.3% (365 of 2393 deaths). On multiple-regression modelling, age over 70 years (hazard ratio 1.6 [95% CI 1.1-2.3]), cancer (2.3 [1.5-3.5]), congestive heart failure (2.4 [1.5-3.7]), chronic obstructive pulmonary disease (1.8 [1.2-2.7]), systolic arterial hypotension (2.9 [1.7-5.0]), tachypnoea (2.0 [1.2-3.2]), and right-ventricular hypokinesis on echocardiography (2.0 [1.3-2.9]) were identified as significant prognostic factors. PE remains an important clinical problem with a high mortality rate. Data from ICOPER provide rates and highlight adverse prognostic categories that will help in planning of future trials of high-risk PE patients.
              Article 0 comments Cited 340 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): J Clin Imaging Sci
                Journal ID (iso-abbrev): J Clin Imaging Sci
                Journal ID (publisher-id): JCIS
                Title: Journal of Clinical Imaging Science
                Publisher: Scientific Scholar
                ISSN (Print): 2156-7514
                ISSN (Electronic): 2156-5597
                Publication date (Electronic): 25 January 2021
                Publication date Collection: 2021
                Volume: 11
                Electronic Location Identifier: 5
                Affiliations
                [1 ]Department of Radiology , Section of Pulmonary and Critical Care, University of Missouri, Columbia, Missouri, United States.
                [2 ]Department of Medicine , Section of Pulmonary and Critical Care, University of Missouri, Columbia, Missouri, United States.
                [3 ]Department of Radiology , University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States.
                Author notes
                [* ] Corresponding author: Ambarish P. Bhat, Department of Radiology, University of Missouri, Columbia, Missouri, United States. bhatambarish@ 123456gmail.com
                Author information
                https://orcid.org/0000-0001-5625-0234
                https://orcid.org/0000-0002-9779-1616
                https://orcid.org/0000-0003-1135-2282
                https://orcid.org/0000-0003-2347-034X
                Article
                Publisher ID: JCIS-11-5
                DOI: 10.25259/JCIS_229_2020
                PMC ID: 7881502
                PubMed ID: 33598362
                SO-VID: da87ec08-e786-47e0-bdbe-712ace8806e5
                Copyright © © 2020 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Date received : 28 December 2020
                Date accepted : 09 January 2021
                Categories
                Subject: Vascular and Interventional Radiology
                Subject: Review Article

                ScienceOpen disciplines: Radiology & Imaging
                Keywords: thrombectomy,massive pulmonary embolism,pulmonary embolism response team,flowtriever,chronic thromboembolic pulmonary hypertension
                Data availability:
                ScienceOpen disciplines: Radiology & Imaging
                Keywords: thrombectomy, massive pulmonary embolism, pulmonary embolism response team, flowtriever, chronic thromboembolic pulmonary hypertension

                Comments

                Comment on this article

                scite_

                Similar content612

                See all similar

                Cited by3

                See all cited by

                Most referenced authors1,515

                See all reference authors