タジマ　ヒロユキ   TAJIMA Hiroyuki   田島　廣之    所属   埼玉医科大学  医学部 国際医療センター　放射線科（放射線腫瘍科、画像診断、核医学科）    職種   特任教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	Massive Pulmonary Embolism Requiring Extracorporeal Life Support Treated With Catheter-Based Interventions
掲載誌名	正式名：INTERNATIONAL HEART JOURNAL ISSNコード：13492365
出版社	INT HEART JOURNAL ASSOC
巻・号・頁	53(6),370-374頁
著者・共著者	Ryo Munakata,Takeshi Yamamoto,Yusuke Hosokawa,Yukichi Tokita,Koichi Akutsu,Naoki Sato,Satoru Murata,Hiroyuki Tajima,Kyoichi Mizuno,Keiji Tanaka
発行年月	2012/11
概要	When pulmonary embolism (PE) develops, circulatory collapse and hypoxia are caused-at the same time. The rapid and proper use of extracorporeal life support (ECLS) can improve the mortality rate of patients with collapsed massive PE. No study has examined the influence of treatment that involved adding catheter based-intervention to ECLS with massive collapsed PE. Thirty-five patients with massive PE were examined, and 10 of these patients were placed on ECLS. Eight of the 10 patients placed on ECLS for massive PE were female, and the median age was 61 years. Seven patients had in-hospital onset PE and 3 patients out-of-hospital onset PE. Their underlying conditions were a cerebral infarction (3 patients), coronary artery disease (5 patients), collagen disease (one patient), postoperative state (3 patients), and lung disease (2 patients). Pulmonary angiographic findings showed that a filling defect or complete occlusion was observed in all 10 patients in the proximal lobular arteries, 6 of which had large thrombi stretching to the main pulmonary arteries. All patients underwent thrombolysis. Percutaneous catheter embolus fragmentation and/or thrombectomy were undertaken in 7 patien
DOI	10.1536/ihj.53.370
PMID	23258138