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dc.contributor.authorRibas, Jesús
dc.contributor.authorValcárcel, Joana
dc.contributor.authorAlba, Esther
dc.contributor.authorRuíz, Yolanda
dc.contributor.authorCuartero, Daniel
dc.contributor.authorIriarte, Adriana
dc.contributor.authorMora-Luján, José María
dc.contributor.authorHuguet, Marta
dc.contributor.authorCerdà, Pau
dc.contributor.authorMartínez-Yélamos, Sergio
dc.contributor.authorCorbella Virós, Xavier
dc.contributor.authorSantos, Salud
dc.contributor.authorRiera-Mestre, Antoni
dc.date.accessioned2021-10-22T12:08:01Z
dc.date.available2021-10-22T12:08:01Z
dc.date.issued2021
dc.identifier.citationRibas, 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/jcm10204716ca
dc.identifier.issn2077-0383ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/2880
dc.description.abstractBackground: 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.extent13ca
dc.language.isoengca
dc.publisherMDPIca
dc.relation.ispartofJournal of Clinical Medicineca
dc.relation.ispartofseries10;20
dc.rightsThis 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.urihttps://creativecommons.org/licenses/by/4.0/
dc.subject.otherProcediments endovascularsca
dc.subject.otherMortalitatca
dc.subject.otherEmbòlia pulmonarca
dc.subject.otherTrombectomiaca
dc.subject.otherTeràpia trombolíticaca
dc.subject.otherFiltres de vena cavaca
dc.subject.otherProcedimientos endovasculareses
dc.subject.otherMortalidades
dc.subject.otherEmbolia pulmonares
dc.subject.otherTrombectomíaes
dc.subject.otherTerapia trombolíticaes
dc.subject.otherFiltros de vena cavaes
dc.subject.otherEndovascular proceduresen
dc.subject.otherMortalityen
dc.subject.otherPulmonary embolismen
dc.subject.otherThrombectomyen
dc.subject.otherThrombolytic therapyen
dc.subject.otherVena cava filtersen
dc.titleCatheter-directed therapies in patients with pulmonary embolism: predictive factors of in-hospital mortality and long-term follow-upen
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/publishedVersionca
dc.rights.accessLevelinfo:eu-repo/semantics/openAccess
dc.embargo.termscapca
dc.subject.udc61ca
dc.identifier.doihttps://dx.doi.org/10.3390/jcm10204716ca


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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.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/