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Title

Understanding haemorrhagic risk following thrombolytic therapy in patients with intermediate-risk and high-risk pulmonary embolism: a hypothesis paper

Authors
Arroyo, Diego A
Published in Open Heart. 2018, vol. 5, no. 1, p. e000735
Abstract While systemic intravenous thrombolysis decreases mortality in patients with high-risk pulmonary embolism (PE), it clearly increases haemorrhagic risk. There are many contraindications to thrombolysis, and efforts should aim at selecting those patients who will benefit most, without suffering complications. The current review summarises the evidence for the use of thrombolytic therapy in PE. It clarifies the pathophysiological mechanisms in PE and acute cor pulmonale that increase the risk of bleeding following thrombolysis. It discusses future management challenges, namely tailored drug administration, new treatment monitoring techniques and catheter-directed thrombolysis.
Identifiers
PMID: 29531763
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Article (Published version) (560 Kb) - public document Free access
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Research group Groupe de recherche en hémodynamique (913)
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ABRAHAM, Paul Samuel et al. Understanding haemorrhagic risk following thrombolytic therapy in patients with intermediate-risk and high-risk pulmonary embolism: a hypothesis paper. In: Open Heart, 2018, vol. 5, n° 1, p. e000735. https://archive-ouverte.unige.ch/unige:111242

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Deposited on : 2018-11-21

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