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題名 | Acute Massive Pulmonary Embolism after Radiofrequency Catheter Ablation: A Rare Complication after a Common Procedure= |
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作者 | Hung, Chen-ying; Lin, Tung-chao; Hsieh, Yu-cheng; Lee, Wen-lieng; Huang, Jin-long; Chang, Wei-chun; Ting, Chih-tai; Wu, Tsu-juey; |
期刊 | Journal of the Chinese Medical Association |
出版日期 | 20120800 |
卷期 | 75:8 2012.08[民101.08] |
頁次 | 頁409-412 |
分類號 | 415.3026 |
語文 | eng |
關鍵詞 | Catheter-directed therapy; Electrophysiological study; Pulmonary embolism; Radiofrequency catheter ablation; |
英文摘要 | A 41-year-old man received an electrophysiological study (EPS) and radiofrequency catheter ablation (RFCA) for atrioventricular reentrant tachycardia (AVRT) in our hospital. Massive pulmonary embolism (PE) with hypotension developed 9 hours after these procedures. After emergent pulmonary angiography and catheter-directed intrathrombus urokinase infusion and clot breaking, the patient recovered well. This case suggests that life-threatening PE may occur in patients who receive EPS, RFCA, or both. An adequate observation time after RFCA and clinical alertness are necessary for immediate diagnosis and treatment. Emergent catheter-directed therapy may be of benefit in some patients with acute massive PE. |
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