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http://hdl.handle.net/2445/181333
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DC Field | Value | Language |
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dc.contributor.author | Ribas, Jesús | - |
dc.contributor.author | Valcárcel, Joana | - |
dc.contributor.author | Alba, Esther | - |
dc.contributor.author | Ruíz, Yolanda | - |
dc.contributor.author | Cuartero, Daniel | - |
dc.contributor.author | Iriarte, Adriana | - |
dc.contributor.author | Mora Luján, José María | - |
dc.contributor.author | Huguet, Marta | - |
dc.contributor.author | Cerdà, Pau | - |
dc.contributor.author | Martínez Yélamos, Sergio | - |
dc.contributor.author | Corbella, Xavier | - |
dc.contributor.author | Santos, Salud | - |
dc.contributor.author | Riera Mestre, Antoni | - |
dc.date.accessioned | 2021-11-18T09:43:07Z | - |
dc.date.available | 2021-11-18T09:43:07Z | - |
dc.date.issued | 2021-10-14 | - |
dc.identifier.uri | http://hdl.handle.net/2445/181333 | - |
dc.description.abstract | Background: catheter-directed therapies (CDT) may be considered for selected patients with pulmonary embolism (PE). Methods: retrospective observational study including all consecutive patients with acute PE undergoing CDT (mechanical or pharmacomechanical) from January 2010 through December 2020. The aim was to evaluate in-hospital and long-term mortality and its predictive factors. Results: we included 63 patients, 43 (68.3%) with high-risk PE. All patients underwent mechanical CDT and, additionally, 27 (43%) underwent catheter-directed thrombolysis. Twelve (19%) patients received failed systemic thrombolysis (ST) prior to CDT, and an inferior vena cava (IVC) filter was inserted in 28 (44.5%) patients. In-hospital PE-related and all-cause mortality rates were 31.7%; 95% CI 20.6-44.7% and 42.9%; 95% CI 30.5-56%, respectively. In multivariate analysis, age > 70 years and previous ST were strongly associated with PE-related and all-cause mortality, while IVC filter insertion during the CDT was associated with lower mortality rates. After a median follow-up of 40 (12-60) months, 11 more patients died (mortality rate of 60.3%; 95% CI 47.2-72.4%). Long-term survival was significantly higher in patients who received an IVC filter. Conclusions: age > 70 years and failure of previous ST were associated with mortality in acute PE patients treated with CDT. In-hospital and long-term mortality were lower in patients who received IVC filter insertion. | - |
dc.format.extent | 13 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI AG | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/jcm10204716 | - |
dc.relation.ispartof | Journal of Clinical Medicine, 2021, vol. 10, num. 20, p. 4716 | - |
dc.relation.uri | https://doi.org/10.3390/jcm10204716 | - |
dc.rights | cc-by (c) Ribas, Jesús et al., 2021 | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | Embòlia pulmonar | - |
dc.subject.classification | Mortalitat | - |
dc.subject.classification | Catèters | - |
dc.subject.other | Pulmonary embolism | - |
dc.subject.other | Mortality | - |
dc.subject.other | Catheters | - |
dc.title | Catheter-Directed Therapies in Patients with Pulmonary Embolism: Predictive Factors of In-Hospital Mortality and Long-Term Follow-Up | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.type | info:eu-repo/semantics/article | - |
dc.identifier.idgrec | 716807 | - |
dc.date.updated | 2021-11-18T09:37:41Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 34682839 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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jcm-10-04716-v2.pdf | 1.1 MB | Adobe PDF | View/Open |
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