Diagnóstico y Tratamiento de Tromboembolismo Pulmonar Masivo Mediante Trombectomía Mecánica. Reporte de un caso.

[Diagnóstico y Tratamiento de Tromboembolismo Pulmonar Masivo Mediante Trombectomía Mecánica. Reporte de un caso.]

David Alberto Lindo Cardenas1, Gilberto Chanis1

1. Caja de Seguro Social, Complejo Hospitalario Arnulfo Arias Madrid.

Publicado: 2019-04-30

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Resumen

 [Diagnosis and Treatment of Massive Pulmonary Embolism by Means of Mechanical Thrombectomy. Case Report]

Resumen

El Tromboembolismo pulmonar puede considerarse una de las complicaciones más graves en Medicina. Consiste en la obstrucción de una arteria pulmonar, usualmente secundaria a un trombo. Esta obstrucción condiciona una disminución de la perfusión sanguínea a los alveolos, lo que lleva a la disminución de  la oxigenación sanguínea corporal. Entre los síntomas más comunes, podemos observar disnea, dolor torácico y los signos más comunes son la disminución de la saturación de oxigeno, la taquipnea y la taquicardia.

Con las mejoras tecnológicas y las mejoras en la precisión diagnóstica, la tomografía computada se ha convertido en el estudio de elección específicamente, la Angiotomografía de Tórax.

 

Abstract

Pulmonary Thromboembolism can be considered one of Medicine’s most severe complications. It consists in the obstruction of a pulmonary artery, usually caused by a thrombus. This obstruction causes a reduction of blood flow to the alveoli which consequently diminishes blood oxygenation for the rest of the body. The most common symptoms seen are dyspnea, thoracic pain and the most common clinical signs are tachycardia, tachypnea and a reduction in blood saturation.

With the advances in technology and the improvements in diagnostic precision, Computed Tomography has become today’s gold standard, specifically Computed Angiotomography.


Abstract

 [Diagnosis and Treatment of Massive Pulmonary Embolism by Means of Mechanical Thrombectomy. Case Report]

Resumen

El Tromboembolismo pulmonar puede considerarse una de las complicaciones más graves en Medicina. Consiste en la obstrucción de una arteria pulmonar, usualmente secundaria a un trombo. Esta obstrucción condiciona una disminución de la perfusión sanguínea a los alveolos, lo que lleva a la disminución de  la oxigenación sanguínea corporal. Entre los síntomas más comunes, podemos observar disnea, dolor torácico y los signos más comunes son la disminución de la saturación de oxigeno, la taquipnea y la taquicardia.

Con las mejoras tecnológicas y las mejoras en la precisión diagnóstica, la tomografía computada se ha convertido en el estudio de elección específicamente, la Angiotomografía de Tórax.

 

Abstract

Pulmonary Thromboembolism can be considered one of Medicine’s most severe complications. It consists in the obstruction of a pulmonary artery, usually caused by a thrombus. This obstruction causes a reduction of blood flow to the alveoli which consequently diminishes blood oxygenation for the rest of the body. The most common symptoms seen are dyspnea, thoracic pain and the most common clinical signs are tachycardia, tachypnea and a reduction in blood saturation.

With the advances in technology and the improvements in diagnostic precision, Computed Tomography has become today’s gold standard, specifically Computed Angiotomography.

Biografía del autor/a

David Alberto Lindo Cardenas, Caja de Seguro Social, Complejo Hospitalario Arnulfo Arias Madrid

Medico Residente de tercer año de Radiologia de la Caja de Seguro Social.

Citas

[1] Akhilesh K. Sista, W. T. (2017). Stratification, Imaging, and Management of Acute Massive and Submassive Pulmonary Embolism. Radiology, 5-24.

[2] Alessandro Furlan, A. A.-C. (2012). Short-term Mortality in Acute Pulmonary Embolism: Clot Burden and Signs of Right Heart Dysfunction at CT Pulmonary Angiography. Radiology, 283-293.

[3] Apfaltrer, P., Henzler, T., & Meyer, M. (2011). Correlation of CT Angiography pulmonary artery obstruction scores with right ventricular dysfunction and adverse clinical outome in patients with acute pulmonary embolism. European Society of Radiology Scientific Paper.

[4] Attia, N. M., Seifeldein, G. S., & Hasan, A. A. (2014). Evaluation of acute pulmonary embolism by sixty-four slice multidetector CT angiography: Correlation between obstruction index, right ventricular dysfunction and clinical presentation. Assiut, Egypt: The Egyptian Journal of Radiology and Nuclear Medicine.

[5] C. Moroni, M. B. (2017). Prognostic Value of CT Pulmonary Angiography (CTPA) parameters in acute pulmonary embolism (CTPA) parameters in acute pulmonary embolism. European Society of Radiology Scientific Exhibit.

[6] Handan Inonu, B. A. (2012). The value of the computed tomographic obstruction index in the identification of massive pulmonary thromboembolism. Diagnostic Interventional Radiology, Turkish Society of Radiology, 255-260.

[7] Krupski, W., Kurys-Denis, E., & Zamecka, M. (2010). Correlations of CT Quanadli index with vascular measurements in patients with pulmonary embolism. European Society of Radiology Scientific Exhibit.

[8] Langroudi, T. F., Raoufi, M., & Shabestari, A. A. (2014). Correlation between pulmonary arterial obstruction index (PAOI) and right ventricular ratio (RV/LV ratio) in CT angiography of patients with pulmonary embolism. European Society of Radiology Scientific Exhibit.

[9] Meyer, G. (2014). Effective diagnosis and Treatment of pulmonary embolism: Improving patient outcomes. Archives of Cardiovascular Disease, 406-414.

[10] Nicholas Marston, W. A. (2014). Assessment of Left Atrial Volume Before and After Pulmonary Thromboendarterectomy in Patients with Chronic Thromboembolic Pulmonary Hypertension. American College of Cardiology.

[11] Qanadli, S. D., & al, M. E. (2001). New CT Index to Quantify Arterial Obstruction in Pulmonary Embolism: Comparison with Angiographic Index and Echocardiography. American Journal of Radiology, 1415-1420.

[12] S. Hekmati, T. F. (2018). Association Between Pulmonary Arterial Obstruction Index (PAOI) and Right Lateral Ventricle Wall Thickness with In-Hospital Mortality in Patients with Pulmonary Emboli. European Society of Radiology Scientific Exhibit.

[13] Viteri, G., Garcia-Iallana, A., & Yarza, I. S. (2013). Pulmonary Embolism: Strategies to optimize pulmonary MDCT angiography studies. European Society of Radiology.

[14] Widismsky, J. (2013). Diagnosis and Treatment of Acute Pulmonary embolism. Prague, Czech Republic: Cor et Vasa.

[15] Wong, D., & Yousefain, O. (2016). Right Ventricular Dyssinchrony improves after Pulmonary Thromboendarterectomy in Chronic Thromboembolic Pulmonary Hypertension. American College of Cardiology.

[16] Yu, T., Yuan, M., & Zhang, Q. (2011). Evaluation of Computed Tomography Obstruction Index in guiding therapeutic decisions and monitoring percutaneous catheter fragmentation in massive pulmonary embolism. Journal of Biomedical Research, 431-437.

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