Advanced Therapy for Intermediate-Risk Pulmonary Embolism

Por: Spyropoulos, Alex C [Autor]Colaborador(es): Vedantham, SureshTipo de material: TextoTextoIdioma: Inglés Descripción: páginas: 2052-2054Tema(s): ANTICOAGULACIÓN | TROMBOEMBOLISMO | CARDIOLOGÍA | NEUMOLOGÍA | MEDICINA CLÍNICA HOSPITALARIA | RADIOLOGÍA GENERAL En: The New England Journal of MedicineResumen: Pulmonary embolism is the third leading cardiovascular cause of complications and death after myocardial infarction and stroke, with a rising incidence globally. The approach to management of acute pulmonary embolism as a condition to be treated nonsurgically with systemic heparin anticoagulation was established more than 60 years ago. Patients with high-risk pulmonary embolism and cardiogenic shock appear to benefit from early thrombus removal, with rapid reductions in pulmonary obstruction and pulmonary vascular resistance from baseline and a lower risk of death than with anticoagulation alone, but at the cost of a nearly 10% risk of major bleeding.
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Colección General NEJM (Navegar estantería) Vol.394, No.20 (2026) Disponible NEJM013

Pulmonary embolism is the third leading cardiovascular cause of complications and death after myocardial infarction and stroke, with a rising incidence globally. The approach to management of acute pulmonary embolism as a condition to be treated nonsurgically with systemic heparin anticoagulation was established more than 60 years ago. Patients with high-risk pulmonary embolism and cardiogenic shock appear to benefit from early thrombus removal, with rapid reductions in pulmonary obstruction and pulmonary vascular resistance from baseline and a lower risk of death than with anticoagulation alone, but at the cost of a nearly 10% risk of major bleeding.