Massive Pulmonary Embolism in Pregnancy Treated with Catheter-Directed Tissue Plasminogen Activator. (1st April 2015)

• Record Type: Journal Article
• Authors: Pick, Jeremy; Berlin, David; Horowitz, James; Winokur, Ron; Sista, Akhilesh K.; Lichtman, Adam D.
• Is Part Of: A & A case reports. Volume 4:Number 7(2015)
• Publication Date: 2015-04-01
• Subjects: Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesiology; Analgesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000128
• Languages: English
• ISSNs: 2325-7237

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <p>Pulmonary embolism is a leading cause of maternal death in the United States, contributing to the death of approximately 2 women per 100, 000 live births each year. Thrombosis during pregnancy traditionally is treated conservatively with unfractionated heparin or low-molecular-weight heparin; however, cardiovascular collapse associated with a large pulmonary embolus may require immediate aggressive intervention to save the mother and fetus. We report the use of catheter infusion thrombolysis in the successful management of a third-trimester pregnant patient with a hemodynamically significant saddle pulmonary embolus.</p> </sec> </abstract>