Literature DB >> 18726674

Massive pulmonary embolism immediately diagnosed by transthoracic echocardiography and treated with tenecteplase fibrinolysis.

Natale Daniele Brunetti1, Riccardo Ieva, Michele Correale, Luisa De Gennaro, Pier Luigi Pellegrino, Ezio Dioguardi, Francesca Bux, Matteo Di Biase.   

Abstract

We report the case of a 75-year-old woman with new onset dyspnoea, hypotension, and right bundle branch block. Transthoracic echocardiography (TTE) showed a thrombus in the right pulmonary artery and acute pulmonary embolism was diagnosed. The patient immediately underwent fibrinolysis with tenecteplase, with prompt recovery of clinical conditions and ECG anomalies. Bedside TTE might be helpful for immediate diagnosis of massive PE needing rapid treatment by fibrinolysis.

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Year:  2008        PMID: 18726674     DOI: 10.1007/s11239-008-0261-7

Source DB:  PubMed          Journal:  J Thromb Thrombolysis        ISSN: 0929-5305            Impact factor:   2.300


  21 in total

1.  Quantitative measures of right ventricular dysfunction by echocardiography in the diagnosis of acute nonmassive pulmonary embolism.

Authors:  Jesper Kjaergaard; Bente Krogsgaard Schaadt; Jens Otto Lund; Christian Hassager
Journal:  J Am Soc Echocardiogr       Date:  2006-10       Impact factor: 5.251

2.  Noninvasive diagnosis of suspected severe pulmonary embolism: transesophageal echocardiography vs spiral CT.

Authors:  P Pruszczyk; A Torbicki; R Pacho; M Chlebus; A Kuch-Wocial; B Pruszynski; H Gurba
Journal:  Chest       Date:  1997-09       Impact factor: 9.410

Review 3.  Spiral computed tomography for the diagnosis of acute pulmonary embolism.

Authors:  Paul D Stein; Fadi Kayali; Russell D Hull
Journal:  Thromb Haemost       Date:  2007-10       Impact factor: 5.249

Review 4.  Guidelines on diagnosis and management of acute pulmonary embolism. Task Force on Pulmonary Embolism, European Society of Cardiology.

Authors: 
Journal:  Eur Heart J       Date:  2000-08       Impact factor: 29.983

5.  Transthoracic echocardiographic documentation of disappearance of massive pulmonary artery thromboemboli after fibrinolytic therapy.

Authors:  Osman Alper Onbasili; Mehmet Polatli; Tarkan Tekten; Ceyhun Ceyhan; Serdar Sen
Journal:  J Thromb Thrombolysis       Date:  2002-10       Impact factor: 2.300

6.  Transthoracic echocardiography for pulmonary embolism in the ICU: finding the "right" findings.

Authors:  S Peter Stawicki; Mark J Seamon; Patrick K Kim; Denise M Meredith; John Chovanes; C William Schwab; Vicente H Gracias
Journal:  J Am Coll Surg       Date:  2007-09-17       Impact factor: 6.113

7.  Quantification of right ventricular function in acute pulmonary embolism: relation to extent of pulmonary perfusion defects.

Authors:  Jesper Kjaergaard; Bente Krogsgaard Schaadt; Jens Otto Lund; Christian Hassager
Journal:  Eur J Echocardiogr       Date:  2008-02-19

8.  Acute pulmonary embolus in pregnancy: a case study highlighting the value of TTE.

Authors:  Paul Stoodley; Mark Cooper; Liza Thomas
Journal:  Eur J Echocardiogr       Date:  2008-05

9.  Diagnosis and treatment of shock due to massive pulmonary embolism: approach with transesophageal echocardiography and intrapulmonary thrombolysis.

Authors:  B Krivec; G Voga; I Zuran; R Skale; R Pareznik; M Podbregar; M Noc
Journal:  Chest       Date:  1997-11-05       Impact factor: 9.410

10.  An unusual presentation of massive pulmonary embolism mimicking septal acute myocardial infarction treated with tenecteplase.

Authors:  Sergio Fasullo; Salvatore Paterna; Pietro Di Pasquale
Journal:  J Thromb Thrombolysis       Date:  2008-01-09       Impact factor: 2.300

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  2 in total

1.  An unusual presentation of a massive pulmonary embolism with misleading investigation results treated with tenecteplase.

Authors:  David Migneault; Zachary Levine; François de Champlain
Journal:  Case Rep Emerg Med       Date:  2015-02-19

2.  The use of bedside ultrasound in the evaluation of patients presenting with signs and symptoms of pulmonary embolism.

Authors:  Adarsh N Patel; L Connor Nickels; F Eike Flach; Giuliano De Portu; Latha Ganti
Journal:  Case Rep Emerg Med       Date:  2013-09-19
  2 in total

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