Info

🌱 來自: Mechanical intervention-venous thromboembolism

catheter-directed pharmacomech

• low-dose lytic infused (eg, tPA 1 mg/h for 12–24 hr per catheter) + U/S or mech fragmentation of clot.
• Consider if hemodyn. compromise or high risk & not candidate for systemic lysis or surgical thrombectomy
• Preferred to systemic lytic by some centers.
• Also consider if intermediate-high risk and evidence of early hemodynamic deterioration (Circ 2014;129:479).
• Lack of data on hard outcomes.