pulmonary thrombectomy

肺動脈血栓摘除術？

WordNet

1. surgical removal of a blood clot (thrombus) from a blood vessel

PrepTutorEJDIC

1. 肺の;肺を冒す

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/12/04 02:31:57」(JST)

wiki en

[Wiki en表示]

Large saddle thromboembolus in the pulmonary arteries (white arrows)

In thoracic surgery, a pulmonary thrombectomy, is an emergency procedure that removes clotted blood (thrombus) from the pulmonary arteries.

Mechanical thrombectomies can be surgical (surgical thrombectomy) or percutaneous (percutaneous thrombectomy).

Surgical thrombectomies were once popular but were abandoned because of poor long-term outcomes. Recently, in selected patients, they have gone through a resurgence with the revision of the surgical technique.

Relation to PTE

Pulmonary thrombectomies and pulmonary thromboendarterectomies (PTEs) are both operations that remove thrombus. Aside from this similarity they differ in many ways.

• PTEs are done on a nonemergency basis while pulmonary thrombectomies are typically done as an emergency procedure.
• PTEs typically are done using hypothermia and full cardiac arrest.
• PTEs are done for chronic pulmonary embolism, thrombectomies for severe acute pulmonary embolism.
• PTEs are generally considered a very effective treatment, surgical thrombectomies are an area of some controversy and their effectiveness a matter of some debate in the medical community.

See also

• Pulmonary embolism
• Heart-lung machine

UpToDate Contents

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• 1. 成人の急性肺塞栓症の治療、予後、経過観察treatment prognosis and follow up of acute pulmonary embolism in adults [show details]
  … and RV dysfunction (ie, intermediate risk PE), aspiration thrombectomy with a newer device resulted in improvement in RV function and pulmonary artery pressure with a complication rate of only 4 percent …
• 2. 急性肺塞栓症患者の血栓溶解療法へのアプローチ：患者の選択と管理approach to thrombolytic fibrinolytic therapy in acute pulmonary embolism patient selection and administration [show details]
  … Pulmonary hemodynamics – Thrombolytic therapy improves pulmonary arterial blood pressure, RV function, and pulmonary perfusion more quickly… an inferior vena cava filter and catheter or surgical embolectomy are options,…
• 3. 成人における急性肺塞栓症の概要overview of acute pulmonary embolism in adults [show details]
  … hemodynamically unstable or fail anticoagulation (thrombolytic therapy and/or embolectomy) The major adverse outcomes associated with pulmonary embolism (PE) include the following: Recurrent thromboembolism – The …
• 4. 下肢深部静脈血栓症の治療の概要overview of the treatment of lower extremity deep vein thrombosis dvt [show details]
  … and catheter-directed) and/or thrombectomy (surgical or catheter-directed) is not indicated. Thrombolysis and/or thrombectomy are usually reserved for patients… thrombosis (DVT) and acute pulmonary embolism (PE) are two manifestations of venous thromboembolism (VTE).…
• 5. 術中にショック状態に陥った成人患者のマネージメントintraoperative management of shock in adults [show details]
  … hyperbaric oxygen facility, if available. Patients with massive pulmonary embolus (PE) may undergo emergency surgical embolectomy, typically performed by a cardiac surgeon with the aid of cardiopulmonary …

English Journal

• PMID 34377221
• PMID 33750664
• PMID 34431236

Japanese Journal

• 神経原性肺水腫をきたした左内頸動脈閉塞症の1例

• 木村 龍太郎,坂本 悠記,青木 淳哉,片野 雄大,西山 康裕,木村 和美
• 臨床神経学 61(1), 29-32, 2021
• <p>症例は，79歳，女性．意識障害，全失語，左共同偏倚，右片麻痺で発症し，胸部X線とCTで肺水腫，低酸素血症を認めた．頭部MRAで左内頸動脈から中大脳動脈は描出されず，MRIでは島皮質を含む左中大脳動脈全域に梗塞を認めた．左内頸動脈閉塞症に対して経皮的血栓回収療法を施行しTICI3の再開通を得た．呼吸状態が悪化し経皮的血栓回収療法直後に気管内挿管行い，人工呼吸器管理を行った．肺水腫は …
• NAID 130007976897

• Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion Caused by Tumor Embolism: A Case Report

• Moriyama Takuya,Sugiura Yuri,Hayashi Yuto,Kinoshita Fukuaki,Yamamura Ryohei,Moriya Masayuki,Tatsumi Chikao,Nagatsuka Kazuyuki,Ishihara Masahiro,Nishio Masami,Tamura Hiromi,Adachi Shiro,Akazawa Yuki
• 脳神経血管内治療 15(1), 52-57, 2021
• … Mechanical thrombectomy (MT) was performed with Thrombolysis in Cerebral Infarction 2B recanalization. … We diagnosed him with tumor embolism from lung cancer that invaded the pulmonary vein and the left atrium.</p><p><b>Conclusion:</b> …
• NAID 130007971020

• 腫瘍塞栓子が左房内に存在した肺癌・心房細動併存の脳塞栓症の1剖検例

• 傳 和眞,今井 啓輔,濱中 正嗣,山本 敦史,猪奥 徹也,樋野 陽子
• 臨床神経学 60(9), 597-602, 2020
• <p>82歳男性．進行肺癌で通院中．突然の意識障害と右半身脱力で救急搬送．昏迷，全失語，右片麻痺があり，心電図にて心房細動をみとめた．頭部MRI拡散強調画像での左大脳半球の高信号域，頭部MRAでの左内頸動脈の信号欠損より，心原性脳塞栓症と判断し，脳血管内治療をおこなった．術中に回収した血栓の病理所見にて腫瘍組織の混在を確認した．入院後に治療を継続したが，第40病日に呼吸不全のため死亡し …
• NAID 130007911258

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★リンクテーブル★

リンク元	「肺動脈血栓摘除術」
関連記事	「pulmonary」

「肺動脈血栓摘除術」

　　[★]

英

pulmonary thrombectomy？

「pulmonary」

　　[★]

• adj.

• 肺の、肺性の

関

lung、pneumo