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Incidence and treatment options for massive pulmonary embolism in Sweden

Review article
Authors Kristina Svennerholm
Leif Lapidus
Carl Johan Malm
Karin Zachrisson
Bengt Redfors
Christian Rylander
Published in The Journal of the Intensive Care Society
Volume 15
Issue 1
Pages 15-16
ISSN 1751-1437
Publication year 2014
Published at
Pages 15-16
Language en
Links https://doi.org/10.1177/17511437140...
Subject categories Intensive care

Abstract

Swedish Healthcare is organised by relatively independent counties which are responsible for the appropriateness of delivered care. As a consequence, few formal guidelines are issued by national authorities or professional societies, which is the case for the treatment of pulmonary embolism (PE). The yearly incidence of PE in Swedish adults was 86/100,000 in 2011, corresponding to approximately 6000 cases with an overall mortality of 6.5%. Acute massive PE with circulatory shock carries mortality up to 50% but its true incidence in Sweden is not known. First-line treatment is intravenous thrombolysis but non-pharmacological alternatives for cases where thrombolysis has no effect or is contraindicated have recently undergone technical development. This includes catheter fragmentation, surgicalembolectomy and extracorporeal circulatory support, which may be used as a bridge to further treatment in very unstable patients. This article summarises the treatment options for acute massive PE and their rationale as seen from a Swedish perspective.

Page Manager: Webmaster|Last update: 9/11/2012
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