Publications by authors named "Razvan Mihai Presura"
Article Synopsis
- The study compares the prognosis of local thrombolysis versus systemic thrombolysis in patients with high-risk pulmonary embolism over 13 years, involving 37 patients treated locally and 36 systemically.
- Local thrombolysis led to a complete remission of cardiogenic shock and a significantly lower in-hospital mortality rate compared to systemic thrombolysis.
- Both treatment methods had similar outcomes regarding pressure gradient reduction and long-term survival rates, but local thrombolysis showed better improvement in residual pulmonary hypertension during the 24-month follow-up.
Background And Aim: High-risk pulmonary embolism (PE) represents an important health problem in emergency cardiology, being associated with a high rate of mortality. The aim of this study is to assess the efficacy and safety of pulmonary intra-arterial thrombolysis with streptokinase compared to systemic thrombolysis.
Methods And Results: In our study, 28 patients with acute high risk PE were treated by intra-arterial thrombolysis with clinical success rate of 96.
A 64-year-old woman with a history of coronary artery bypass and coronary angioplasty with unexpanded stent entrapment blocked in the circumflex coronary artery and left main is now presenting with crescendo angina pectoris. The Department of Cardiovascular Surgery established that a new surgical intervention presents a very high risk. In this condition, we decide for elective percutaneous coronary intervention for stent restenosis, which is a very difficult procedure in the particular condition of unexpanded stent blocked in the circumflex coronary artery and left main.
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