Thrombolytic therapy of pulmonary embolism - A comprehensive review of current evidence

Citation
Sm. Arcasoy et Jw. Kreit, Thrombolytic therapy of pulmonary embolism - A comprehensive review of current evidence, CHEST, 115(6), 1999, pp. 1695-1707
Citations number
102
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Journal title
CHEST
ISSN journal
00123692 → ACNP
Volume
115
Issue
6
Year of publication
1999
Pages
1695 - 1707
Database
ISI
SICI code
0012-3692(199906)115:6<1695:TTOPE->2.0.ZU;2-V
Abstract
Pulmonary embolism (PE) is a common disorder that is accompanied by signifi cant morbidity and mortality. Although anticoagulation is the standard trea tment for PE, thrombolytic therapy, with its ability to produce rapid clot lysis, has long been considered an attractive alternative. Although many st udies have been pel formed over the past three decades, however, the indica tions for the use of thrombolytic agents in patients with PE remain controv ersial. In this article, we review the medical literature and provide evide nce-based guidelines for the use of thrombolytic therapy. We will also disc uss the practical aspects of PE thrombolysis.