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• W1997335218 abstract "A terapêutica no tromboembolismo pulmonar (TEP) de alto risco baseou‐se durante anos em duas estratégias bem definidas: a trombólise, cujos benefícios foram documentados em estudos aleatorizados, e a embolectomia cirúrgica. Contudo, a reperfusão mecânica por técnicas percutâneas tem sido utilizada num número crescente de doentes. Estas técnicas constituem uma alternativa terapêutica válida na presença de contraindicação formal para trombólise, como terapêutica de recurso quando a trombólise é ineficaz, ou como alternativa à embolectomia cirúrgica na ausência de disponibilidade da técnica ou na presença de contraindicação para a mesma. Neste artigo pretendemos discutir as indicações para a utilização das técnicas percutâneas no TEP e apresentar a experiência inicial do nosso centro com o sistema de trombectomia por cateter AngioJet® (Possis Medical Inc, Minneapolis, MN, EUA). Foi intenção dos autores rever a evidência disponível, as mais recentes recomendações para a sua utilização, assim como as principais complicações associadas a este procedimento. For years, the treatment of high‐risk pulmonary embolism (PE) was based on two well‐defined strategies: thrombolysis, whose benefits have been documented in randomized trials, and surgical embolectomy. However, mechanical reperfusion by percutaneous techniques is used in an increasing number of patients, and is a valid therapeutic option when there is a formal contraindication to thrombolysis, as rescue therapy when thrombolysis fails to improve hemodynamics, and/or when emergency surgical thrombectomy is unavailable or contraindicated. This article discusses the indications for the use of percutaneous techniques in PE, reports the initial experience of our center with the AngioJet® thrombectomy device (Possis Medical Inc, Minneapolis, MN, USA) and reviews the available evidence, the most recent recommendations and the main complications associated with this procedure." @default.
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• W1997335218 date "2014-06-01" @default.
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• W1997335218 title "Trombectomia percutânea reolítica no tratamento de tromboembolismo pulmonar de alto risco: experiência inicial de um centro" @default.
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• W1997335218 doi "https://doi.org/10.1016/j.repc.2014.02.010" @default.
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