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dc.contributor.author | Ribas, Jesús |
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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 Virós, Xavier |
dc.contributor.author | Santos, Salud |
dc.contributor.author | Riera-Mestre, Antoni |
dc.date | 2021-10-22T12:08:01Z |
dc.date | 2021-10-22T12:08:01Z |
dc.date | 2021 |
dc.identifier | Ribas, Jesús; Valcárcel, Joana; Alba, Esther [et al.]. Catheter-directed therapies in patients with pulmonary embolism: predictive factors of in-hospital mortality and long-term follow-up. Journal of Clinical Medicine, 2021, 10(20), 4716. Disponible en: <https://www.mdpi.com/2077-0383/10/20/4716>. Fecha de acceso: 22 oct. 2021. DOI: 10.3390/jcm10204716 |
dc.identifier | 2077-0383 |
dc.identifier | http://hdl.handle.net/20.500.12328/2880 |
dc.identifier | https://dx.doi.org/10.3390/jcm10204716 |
dc.identifier.uri | http://hdl.handle.net/20.500.12328/2880 |
dc.description | Background: Catheter-directed therapies (CDT) may be considered for selected patients with pulmonary embolism (PE); (2) 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; (3) 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; (4) 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 | 13 |
dc.format | application/pdf |
dc.language | eng |
dc.publisher | MDPI |
dc.relation | Journal of Clinical Medicine |
dc.relation | 10;20 |
dc.rights | This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
dc.rights | https://creativecommons.org/licenses/by/4.0/ |
dc.rights | info:eu-repo/semantics/openAccess |
dc.subject | Procediments endovasculars |
dc.subject | Mortalitat |
dc.subject | Embòlia pulmonar |
dc.subject | Trombectomia |
dc.subject | Teràpia trombolítica |
dc.subject | Filtres de vena cava |
dc.subject | Procedimientos endovasculares |
dc.subject | Mortalidad |
dc.subject | Embolia pulmonar |
dc.subject | Trombectomía |
dc.subject | Terapia trombolítica |
dc.subject | Filtros de vena cava |
dc.subject | Endovascular procedures |
dc.subject | Mortality |
dc.subject | Pulmonary embolism |
dc.subject | Thrombectomy |
dc.subject | Thrombolytic therapy |
dc.subject | Vena cava filters |
dc.subject | 61 |
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/article |
dc.type | info:eu-repo/semantics/publishedVersion |