Determination of EkoSonic Endovascular System Treatment According to Patient Characteristics in High-risk Pulmonary Embolism Patients
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Tarih
2022
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: Pulmonary embolism (PE) is the third most common cause of cardiovascular death. The EkoSonic Endovascular System is one of the treatments for thrombus. In this study, it was aimed to investigate the re- sults of ECOS treatment and the effects of personal characteristics such as age, gender, and clinical history on the effectiveness and safety of treatment in patients with high or moderately high-risk PE. Methods: In this study, 51 patients who underwent ECOS with the diagnosis of medium-high-risk PE were analyzed retrospectively. Arte- rial blood gas oxygen saturation, partial oxygen pressure (PaO2) val- ues, RV diameters, pulmonary arterial pressure (PAPs), and tricuspid regurgitation in echocardiography and Qanadli Score in computed tomography were recorded in all patients before and after the proce- dure. In addition, PE and deep vein thrombosis localization, complete blood count, hemoglobin, hematocrit, platelet count, urea, creatinine values, minor and major bleeding, recurrent venous thromboembolism, and presence of complications were evaluated. All the data obtained were compared in male and female groups, in the over 65 age group and in groups classified according to the history of the underlying disease. Results: In all patients, the mean of saturation and PaO2 after the procedure was higher than before the procedure, the averages of he- moglobin, hematocrit, creatine, right ventricular (RV) diameter, PAP, and Qanad value were found to be lower than before the procedure (p<0.05). The RV diameter difference before and after the procedure was found to be higher in patients over 65 years of age than in pa- tients under 65 years of age (p<0.05). Considering the gender distribu- tion of ten patients with complications, 1 (10%) of the patients were male and 9 (90%) were female. Conclusion: This study shows that ECOS is an effective treatment op- tion in patients with high-risk PE.
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Kaynak
Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi
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Cilt
28
Sayı
4
