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 Virós, Xavier | |
dc.contributor.author | Santos, Salud | |
dc.contributor.author | Riera-Mestre, Antoni | |
dc.date.accessioned | 2021-10-22T12:08:01Z | |
dc.date.available | 2021-10-22T12:08:01Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | 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 | ca |
dc.identifier.issn | 2077-0383 | ca |
dc.identifier.uri | http://hdl.handle.net/20.500.12328/2880 | |
dc.description.abstract | 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. | en |
dc.format.extent | 13 | ca |
dc.language.iso | eng | ca |
dc.publisher | MDPI | ca |
dc.relation.ispartof | Journal of Clinical Medicine | ca |
dc.relation.ispartofseries | 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. | en |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject.other | Procediments endovasculars | ca |
dc.subject.other | Mortalitat | ca |
dc.subject.other | Embòlia pulmonar | ca |
dc.subject.other | Trombectomia | ca |
dc.subject.other | Teràpia trombolítica | ca |
dc.subject.other | Filtres de vena cava | ca |
dc.subject.other | Procedimientos endovasculares | es |
dc.subject.other | Mortalidad | es |
dc.subject.other | Embolia pulmonar | es |
dc.subject.other | Trombectomía | es |
dc.subject.other | Terapia trombolítica | es |
dc.subject.other | Filtros de vena cava | es |
dc.subject.other | Endovascular procedures | en |
dc.subject.other | Mortality | en |
dc.subject.other | Pulmonary embolism | en |
dc.subject.other | Thrombectomy | en |
dc.subject.other | Thrombolytic therapy | en |
dc.subject.other | Vena cava filters | en |
dc.title | Catheter-directed therapies in patients with pulmonary embolism: predictive factors of in-hospital mortality and long-term follow-up | en |
dc.type | info:eu-repo/semantics/article | ca |
dc.description.version | info:eu-repo/semantics/publishedVersion | ca |
dc.rights.accessLevel | info:eu-repo/semantics/openAccess | |
dc.embargo.terms | cap | ca |
dc.subject.udc | 61 | ca |
dc.identifier.doi | https://dx.doi.org/10.3390/jcm10204716 | ca |