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Radiology, Vol 191, 473-475, Copyright © 1994 by Radiological Society of North America

ARTICLES

Life-threatening pulmonary emboli and cor pulmonale: treatment with percutaneous pulmonary artery stent placement

ZJ Haskal, MC Soulen, EA Huettl, HI Palevsky and C Cope
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.

Large, central bilateral pulmonary emboli led to cor pulmonale and severe hypoxemia in a patient who had recently undergone cardiac surgery. After percutaneous catheter fragmentation and thrombolysis of the emboli failed, the left and right interlobal pulmonary arteries were recanalized by placement of self-expanding Wallstent endoprostheses through the clots. Pulmonary perfusion was restored to the lower lobes, and the patient demonstrated rapid clinical improvement.


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