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Reduced-Dose Thrombolysis in Acute Pulmonary Embolism A Systematic Review by Adrian Rojas Murguia; Debabrata Mukherjee; Chandra Ojha; Manu Rajachandran; Tariq S. Siddiqui; Nils P. Nickel is a Medicine article available to read on EtoBox.

What is Reduced-Dose Thrombolysis in Acute Pulmonary Embolism A Systematic Review about?

Pulmonary embolism (PE) is the third-leading cause of cardiovascular mortality and the second-leading cause of death in cancer patients. The clinical efficacy of thrombolysis for acute PE has been proven, yet the therapeutic window seems narrow, and the optimal dosing for pharmaceutical reperfusion therapy has not been established. Higher doses of systemic thrombolysis inevitably associated with an incremental increase in major bleeding risk. To date, there is no high-quality evidence regarding dosing and infusion rates of thrombolytic agents to treat acute PE. Most clinical trials have focused on thrombolysis compared with anticoagulation alone, but dose-finding studies are lacking. Evidence is now emerging that lower-dose thrombolytic administered through a peripheral vein is efficacious in accelerating thrombolysis in the central pulmonary artery and preventing acute right heart failure, with reduced risk for major bleeding. The present review will systematically summarize the current evidence of low-dose thrombolysis in acute PE.

Who reads Reduced-Dose Thrombolysis in Acute Pulmonary Embolism A Systematic Review?

It is typically read by researchers, students, and practitioners in Medicine.

Author
Adrian Rojas Murguia; Debabrata Mukherjee; Chandra Ojha; Manu Rajachandran; Tariq S. Siddiqui; Nils P. Nickel
Publisher
Taylor and Francis Group; Informa UK (Taylor & Francis); Society of Tribologists and Lubrication Engineers; Informa UK Limited (ISSN 0569-8197)
Published
2023
Language
EN
Field
Medicine (Health Sciences)

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