Current Status and Trends in the Treatment of Acute Pulmonary Thromboembolism
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概要
- 論文の詳細を見る
Untreated acute pulmonary thromboembolism (APTE) is associated with high mortality, which is reduced by prompt treatment. Anticoagulation is fundamental in the treatment of APTE and should be initiated from suspicion. The efficacy and safety of novel anticoagulant drugs, such as oral anti-Xa and anti-IIa inhibitors, are topics in the treatment of APTE and are now under investigation. Thrombolytic therapy is a widely accepted treatment strategy for massive APTE, but its use for submassive APTE is controversial. Catheter intervention, percutaneous cardiopulmonary support and surgical embolectomy are also necessary and effective for some patients with APTE. A retrievable inferior vena cava filter is preferred for transient protection against APTE. Some studies have demonstrated the feasibility of outpatient treatment in patients with APTE after risk stratification. (Circ J 2011; 75: 2731-2738)
- 社団法人日本循環器学会の論文
- 2011-11-25
著者
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Nakamura M
Department Of Cardiology Mie University Graduate School Of Medicine
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Yamada Norikazu
三重大学 医学系研究科循環器内科学
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Nakamura Mashio
三重大学 医学系研究科循環器内科学
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Ito Masaaki
三重県厚生農業協同組合連合会松阪中央総合病院 循環器科
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Nakagawa Makoto
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Nakano Makoto
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Nakamura Mashio
Department Of Cardiology And Nephrology Mie University Graduate School Of Medicine
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Ito Masaaki
Division Of Internal Medicine Saito Hospital
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Nakamura Masayuki
1st Department Of Internal Medicine Faculty Of Medicine Mie University
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Yamada Norikazu
The First Department Of Internal Medicine Mie University School Of Medicine
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Ito Masaaki
Department Of Cardiology And Nephrology Mie University Graduate School Of Medicine
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Ito Masaaki
Department Of Agricultural Chemistry Yamagata University
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Yamada Norikazu
Department Of Cardiology And Nephrology Mie University Graduate School Of Medicine
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Ninomiya Mototsugu
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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