Details

Autor(en) / Beteiligte

• Zhang, Robert S
• Ho, Alvin M
• Elbaum, Lindsay
• Greco, Allison A
• Hall, Sylvie
• Postelnicu, Radu
• Mukherjee, Vikramjit
• Maqsood, Muhammad H
• Keller, Norma
• Alviar, Carlos L
• Bangalore, Sripal

Titel

Quality and rapidity of anticoagulation in patients with acute pulmonary embolism undergoing mechanical thrombectomy

Ist Teil von

• The American heart journal, 2024-01, Vol.267, p.91-94

Ort / Verlag

United States: Elsevier Limited

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• The primary objective of our study was to determine the proportion of intermediate-risk PE patients undergoing mechanical thrombectomy (MT) who achieved therapeutic anticoagulation (AC) at the time of the procedure. The salient findings of our study showed that only a minority of patients (14.3%) were in the therapeutic range by ACT at the time of MT (primary outcome). Furthermore, in this higher-risk PE cohort selected for MT, 18.2% of patients were subtherapeutic after initially reaching therapeutic AC, 43% experienced supratherapeutic AC at some point before MT, and less than half (43%) attained therapeutic AC at 6 hours, highlighting the necessity for optimizing anticoagulation practices in acute PE.