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- Chen-Ying Hung, Tung-Chao Lin, Yu-Cheng Hsieh, Wen-Lieng Lee, Jin-Long Huang, Wei-Chun Chang, Chih-Tai Ting, and Tsu-Juey Wu.
- Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
- J Chin Med Assoc. 2012 Aug 1; 75 (8): 409-12.
AbstractA 41-year-old man received an electrophysiological study (EPS) and radiofrequency catheter ablation (RFCA) for atrioventricular reentrant tachycardia (AVRT) in our hospital. Massive pulmonary embolism (PE) with hypotension developed 9 hours after these procedures. After emergent pulmonary angiography and catheter-directed intrathrombus urokinase infusion and clot breaking, the patient recovered well. This case suggests that life-threatening PE may occur in patients who receive EPS, RFCA, or both. An adequate observation time after RFCA and clinical alertness are necessary for immediate diagnosis and treatment. Emergent catheter-directed therapy may be of benefit in some patients with acute massive PE.Copyright © 2012. Published by Elsevier B.V.
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