id sid tid token lemma pos ecj-11558 1 1 hrev_master hrev_master NOUN ecj-11558 2 1 [ [ X ecj-11558 2 2 page page NOUN ecj-11558 2 3 13 13 NUM ecj-11558 2 4 ] ] PUNCT ecj-11558 3 1 [ [ X ecj-11558 3 2 emergency emergency NOUN ecj-11558 3 3 care care NOUN ecj-11558 3 4 journal journal NOUN ecj-11558 3 5 2023 2023 NUM ecj-11558 3 6 ; ; PUNCT ecj-11558 3 7 19:11558 19:11558 NUM ecj-11558 3 8 ] ] X ecj-11558 3 9 emergency emergency NOUN ecj-11558 3 10 care care NOUN ecj-11558 3 11 journal journal PROPN ecj-11558 3 12 2023 2023 NUM ecj-11558 3 13 ; ; PUNCT ecj-11558 3 14 volume volume NOUN ecj-11558 3 15 19:11558 19:11558 NUM ecj-11558 3 16 abstract abstract ADJ ecj-11558 3 17 acute acute ADJ ecj-11558 3 18 pulmonary pulmonary ADJ ecj-11558 3 19 embolism embolism NOUN ecj-11558 3 20 ( ( PUNCT ecj-11558 3 21 pe pe INTJ ecj-11558 3 22 ) ) PUNCT ecj-11558 3 23 is be AUX ecj-11558 3 24 a a DET ecj-11558 3 25 challenging challenging ADJ ecj-11558 3 26 and and CCONJ ecj-11558 3 27 potentially potentially ADV ecj-11558 3 28 fatal fatal ADJ ecj-11558 3 29 cardiovascular cardiovascular ADJ ecj-11558 3 30 disorder disorder NOUN ecj-11558 3 31 . . PUNCT ecj-11558 4 1 in in ADP ecj-11558 4 2 high high ADJ ecj-11558 4 3 - - PUNCT ecj-11558 4 4 risk risk NOUN ecj-11558 4 5 patients patient NOUN ecj-11558 4 6 , , PUNCT ecj-11558 4 7 percutaneous percutaneous ADJ ecj-11558 4 8 catheter catheter NOUN ecj-11558 4 9 embolectomy embolectomy ADJ ecj-11558 4 10 may may AUX ecj-11558 4 11 be be AUX ecj-11558 4 12 considered consider VERB ecj-11558 4 13 when when SCONJ ecj-11558 4 14 thrombolysis thrombolysis NOUN ecj-11558 4 15 is be AUX ecj-11558 4 16 contraindicated contraindicate VERB ecj-11558 4 17 or or CCONJ ecj-11558 4 18 has have AUX ecj-11558 4 19 failed fail VERB ecj-11558 4 20 . . PUNCT ecj-11558 5 1 we we PRON ecj-11558 5 2 hereby hereby ADV ecj-11558 5 3 discuss discuss VERB ecj-11558 5 4 the the DET ecj-11558 5 5 case case NOUN ecj-11558 5 6 of of ADP ecj-11558 5 7 a a DET ecj-11558 5 8 60 60 NUM ecj-11558 5 9 - - PUNCT ecj-11558 5 10 year year NOUN ecj-11558 5 11 - - PUNCT ecj-11558 5 12 old old ADJ ecj-11558 5 13 man man NOUN ecj-11558 5 14 who who PRON ecj-11558 5 15 was be AUX ecj-11558 5 16 found find VERB ecj-11558 5 17 unconscious unconscious ADJ ecj-11558 5 18 on on ADP ecj-11558 5 19 the the DET ecj-11558 5 20 ground ground NOUN ecj-11558 5 21 with with ADP ecj-11558 5 22 signs sign NOUN ecj-11558 5 23 of of ADP ecj-11558 5 24 head head NOUN ecj-11558 5 25 trauma trauma NOUN ecj-11558 5 26 and and CCONJ ecj-11558 5 27 respiratory respiratory ADJ ecj-11558 5 28 failure failure NOUN ecj-11558 5 29 . . PUNCT ecj-11558 6 1 he he PRON ecj-11558 6 2 was be AUX ecj-11558 6 3 found find VERB ecj-11558 6 4 to to PART ecj-11558 6 5 have have VERB ecj-11558 6 6 a a DET ecj-11558 6 7 massive massive ADJ ecj-11558 6 8 pulmonary pulmonary ADJ ecj-11558 6 9 embolism embolism NOUN ecj-11558 6 10 and and CCONJ ecj-11558 6 11 multiple multiple ADJ ecj-11558 6 12 basilar basilar ADJ ecj-11558 6 13 skull skull NOUN ecj-11558 6 14 fractures fracture NOUN ecj-11558 6 15 associated associate VERB ecj-11558 6 16 with with ADP ecj-11558 6 17 slight slight ADJ ecj-11558 6 18 subdural subdural ADJ ecj-11558 6 19 and and CCONJ ecj-11558 6 20 subarachnoid subarachnoid VERB ecj-11558 6 21 hemorrhages hemorrhage NOUN ecj-11558 6 22 . . PUNCT ecj-11558 7 1 his his PRON ecj-11558 7 2 acute acute ADJ ecj-11558 7 3 treatment treatment NOUN ecj-11558 7 4 required require VERB ecj-11558 7 5 a a DET ecj-11558 7 6 multidisciplinary multidisciplinary ADJ ecj-11558 7 7 discussion discussion NOUN ecj-11558 7 8 and and CCONJ ecj-11558 7 9 approach approach NOUN ecj-11558 7 10 . . PUNCT ecj-11558 8 1 ekosonic ekosonic ADJ ecj-11558 8 2 ™ ™ PROPN ecj-11558 8 3 endovascular endovascular ADJ ecj-11558 8 4 system system NOUN ecj-11558 8 5 ( ( PUNCT ecj-11558 8 6 ekos ekos ADV ecj-11558 8 7 ) ) PUNCT ecj-11558 8 8 thrombolysis thrombolysis NOUN ecj-11558 8 9 was be AUX ecj-11558 8 10 successfully successfully ADV ecj-11558 8 11 performed perform VERB ecj-11558 8 12 . . PUNCT ecj-11558 9 1 the the DET ecj-11558 9 2 patient patient NOUN ecj-11558 9 3 required require VERB ecj-11558 9 4 intensive intensive ADJ ecj-11558 9 5 care care NOUN ecj-11558 9 6 unit unit NOUN ecj-11558 9 7 ( ( PUNCT ecj-11558 9 8 icu icu PROPN ecj-11558 9 9 ) ) PUNCT ecj-11558 9 10 monitoring monitoring NOUN ecj-11558 9 11 and and CCONJ ecj-11558 9 12 treatment treatment NOUN ecj-11558 9 13 for for ADP ecj-11558 9 14 31 31 NUM ecj-11558 9 15 days day NOUN ecj-11558 9 16 . . PUNCT ecj-11558 10 1 upon upon SCONJ ecj-11558 10 2 discharge discharge VERB ecj-11558 10 3 , , PUNCT ecj-11558 10 4 henoxaparin henoxaparin NOUN ecj-11558 10 5 4000 4000 NUM ecj-11558 10 6 ui ui NOUN ecj-11558 10 7 twice twice ADV ecj-11558 10 8 per per ADP ecj-11558 10 9 day day NOUN ecj-11558 10 10 was be AUX ecj-11558 10 11 prescribed prescribe VERB ecj-11558 10 12 as as ADP ecj-11558 10 13 anticoagulant anticoagulant NOUN ecj-11558 10 14 , , PUNCT ecj-11558 10 15 without without ADP ecj-11558 10 16 any any DET ecj-11558 10 17 evidence evidence NOUN ecj-11558 10 18 of of ADP ecj-11558 10 19 pulmonary pulmonary ADJ ecj-11558 10 20 hypertension hypertension NOUN ecj-11558 10 21 or or CCONJ ecj-11558 10 22 severe severe ADJ ecj-11558 10 23 neurological neurological ADJ ecj-11558 10 24 sequelae sequelae NOUN ecj-11558 10 25 . . PUNCT ecj-11558 11 1 introduction introduction NOUN ecj-11558 11 2 pulmonary pulmonary ADJ ecj-11558 11 3 embolism embolism NOUN ecj-11558 11 4 ( ( PUNCT ecj-11558 11 5 pe pe INTJ ecj-11558 11 6 ) ) PUNCT ecj-11558 11 7 represents represent VERB ecj-11558 11 8 a a DET ecj-11558 11 9 major major ADJ ecj-11558 11 10 global global ADJ ecj-11558 11 11 burden burden NOUN ecj-11558 11 12 of of ADP ecj-11558 11 13 cardiovascular cardiovascular ADJ ecj-11558 11 14 disease.1 disease.1 PROPN ecj-11558 11 15 nevertheless nevertheless ADV ecj-11558 11 16 , , PUNCT ecj-11558 11 17 there there PRON ecj-11558 11 18 is be VERB ecj-11558 11 19 a a DET ecj-11558 11 20 noticeable noticeable ADJ ecj-11558 11 21 gap gap NOUN ecj-11558 11 22 in in ADP ecj-11558 11 23 global global ADJ ecj-11558 11 24 recognition recognition NOUN ecj-11558 11 25 and and CCONJ ecj-11558 11 26 the the DET ecj-11558 11 27 quality quality NOUN ecj-11558 11 28 of of ADP ecj-11558 11 29 epidemiological epidemiological ADJ ecj-11558 11 30 data datum NOUN ecj-11558 11 31 between between ADP ecj-11558 11 32 pe pe NOUN ecj-11558 11 33 and and CCONJ ecj-11558 11 34 diseases disease NOUN ecj-11558 11 35 such such ADJ ecj-11558 11 36 as as ADP ecj-11558 11 37 myocardial myocardial ADJ ecj-11558 11 38 infarction infarction NOUN ecj-11558 11 39 and and CCONJ ecj-11558 11 40 stroke.2 stroke.2 PROPN ecj-11558 11 41 heterogeneity heterogeneity NOUN ecj-11558 11 42 of of ADP ecj-11558 11 43 clinical clinical ADJ ecj-11558 11 44 presentation presentation NOUN ecj-11558 11 45 , , PUNCT ecj-11558 11 46 increasing increase VERB ecj-11558 11 47 prevalence prevalence NOUN ecj-11558 11 48 of of ADP ecj-11558 11 49 deep deep ADJ ecj-11558 11 50 vein vein ADJ ecj-11558 11 51 thrombosis thrombosis NOUN ecj-11558 11 52 risk risk NOUN ecj-11558 11 53 factors factor NOUN ecj-11558 11 54 , , PUNCT ecj-11558 11 55 such such ADJ ecj-11558 11 56 as as ADP ecj-11558 11 57 obesity obesity NOUN ecj-11558 11 58 and and CCONJ ecj-11558 11 59 cancer cancer NOUN ecj-11558 11 60 , , PUNCT ecj-11558 11 61 as as ADV ecj-11558 11 62 well well ADV ecj-11558 11 63 as as ADP ecj-11558 11 64 limited limited ADJ ecj-11558 11 65 literature literature NOUN ecj-11558 11 66 data datum NOUN ecj-11558 11 67 on on ADP ecj-11558 11 68 high high ADJ ecj-11558 11 69 - - PUNCT ecj-11558 11 70 risk risk NOUN ecj-11558 11 71 patients patient NOUN ecj-11558 11 72 have have AUX ecj-11558 11 73 established establish VERB ecj-11558 11 74 pe pe INTJ ecj-11558 11 75 as as ADP ecj-11558 11 76 one one NUM ecj-11558 11 77 of of ADP ecj-11558 11 78 the the DET ecj-11558 11 79 most most ADV ecj-11558 11 80 challenging challenging ADJ ecj-11558 11 81 cardiovascular cardiovascular ADJ ecj-11558 11 82 disorders disorder NOUN ecj-11558 11 83 in in ADP ecj-11558 11 84 emergency emergency NOUN ecj-11558 11 85 medicine medicine NOUN ecj-11558 11 86 . . PUNCT ecj-11558 12 1 although although SCONJ ecj-11558 12 2 case case NOUN ecj-11558 12 3 fatality fatality NOUN ecj-11558 12 4 rates rate NOUN ecj-11558 12 5 appear appear VERB ecj-11558 12 6 to to PART ecj-11558 12 7 be be AUX ecj-11558 12 8 decreasing decrease VERB ecj-11558 12 9 , , PUNCT ecj-11558 12 10 pe pe ADJ ecj-11558 12 11 - - PUNCT ecj-11558 12 12 related relate VERB ecj-11558 12 13 mortality mortality NOUN ecj-11558 12 14 continues continue VERB ecj-11558 12 15 to to PART ecj-11558 12 16 be be AUX ecj-11558 12 17 high,1 high,1 ADV ecj-11558 12 18 reaching reach VERB ecj-11558 12 19 7 7 NUM ecj-11558 12 20 % % NOUN ecj-11558 12 21 for for ADP ecj-11558 12 22 all all DET ecj-11558 12 23 patients patient NOUN ecj-11558 12 24 , , PUNCT ecj-11558 12 25 and and CCONJ ecj-11558 12 26 33 33 NUM ecj-11558 12 27 % % NOUN ecj-11558 12 28 for for ADP ecj-11558 12 29 those those PRON ecj-11558 12 30 presenting present VERB ecj-11558 12 31 with with ADP ecj-11558 12 32 hemodynamic hemodynamic ADJ ecj-11558 12 33 instability.3 instability.3 PROPN ecj-11558 12 34 an an DET ecj-11558 12 35 early early ADJ ecj-11558 12 36 diagnosis diagnosis NOUN ecj-11558 12 37 remains remain VERB ecj-11558 12 38 crucial crucial ADJ ecj-11558 12 39 , , PUNCT ecj-11558 12 40 providing provide VERB ecj-11558 12 41 the the DET ecj-11558 12 42 opportunity opportunity NOUN ecj-11558 12 43 for for ADP ecj-11558 12 44 immediate immediate ADJ ecj-11558 12 45 effective effective ADJ ecj-11558 12 46 treatment treatment NOUN ecj-11558 12 47 aimed aim VERB ecj-11558 12 48 at at ADP ecj-11558 12 49 preventing prevent VERB ecj-11558 12 50 both both CCONJ ecj-11558 12 51 short short ADJ ecj-11558 12 52 and and CCONJ ecj-11558 12 53 long long ADJ ecj-11558 12 54 - - PUNCT ecj-11558 12 55 term term NOUN ecj-11558 12 56 sequelae sequelae NOUN ecj-11558 12 57 . . PUNCT ecj-11558 13 1 patients patient NOUN ecj-11558 13 2 with with ADP ecj-11558 13 3 high high ADJ ecj-11558 13 4 - - PUNCT ecj-11558 13 5 risk risk NOUN ecj-11558 13 6 pe pe NOUN ecj-11558 13 7 and and CCONJ ecj-11558 13 8 a a DET ecj-11558 13 9 subset subset NOUN ecj-11558 13 10 of of ADP ecj-11558 13 11 patients patient NOUN ecj-11558 13 12 with with ADP ecj-11558 13 13 intermediate intermediate ADJ ecj-11558 13 14 – – PUNCT ecj-11558 13 15 high high ADJ ecj-11558 13 16 - - PUNCT ecj-11558 13 17 risk risk NOUN ecj-11558 13 18 pe pe PRON ecj-11558 13 19 should should AUX ecj-11558 13 20 be be AUX ecj-11558 13 21 considered consider VERB ecj-11558 13 22 for for ADP ecj-11558 13 23 advanced advanced ADJ ecj-11558 13 24 reperfusion reperfusion NOUN ecj-11558 13 25 therapies therapy NOUN ecj-11558 13 26 due due ADJ ecj-11558 13 27 to to ADP ecj-11558 13 28 higher high ADJ ecj-11558 13 29 mortality mortality NOUN ecj-11558 13 30 with with ADP ecj-11558 13 31 anticoagulation anticoagulation NOUN ecj-11558 13 32 alone.4 alone.4 PRON ecj-11558 13 33 advanced advanced ADJ ecj-11558 13 34 therapies therapy NOUN ecj-11558 13 35 for for ADP ecj-11558 13 36 acute acute NOUN ecj-11558 13 37 pe pe PROPN ecj-11558 13 38 include include VERB ecj-11558 13 39 systemic systemic ADJ ecj-11558 13 40 fibrinolysis fibrinolysis NOUN ecj-11558 13 41 , , PUNCT ecj-11558 13 42 catheter catheter NOUN ecj-11558 13 43 - - PUNCT ecj-11558 13 44 based base VERB ecj-11558 13 45 intervention intervention NOUN ecj-11558 13 46 , , PUNCT ecj-11558 13 47 surgical surgical ADJ ecj-11558 13 48 pulmonary pulmonary ADJ ecj-11558 13 49 embolectomy embolectomy ADJ ecj-11558 13 50 , , PUNCT ecj-11558 13 51 and and CCONJ ecj-11558 13 52 mechanical mechanical ADJ ecj-11558 13 53 circulatory circulatory ADJ ecj-11558 13 54 support support NOUN ecj-11558 13 55 . . PUNCT ecj-11558 14 1 choosing choose VERB ecj-11558 14 2 a a DET ecj-11558 14 3 particular particular ADJ ecj-11558 14 4 advanced advanced ADJ ecj-11558 14 5 therapy therapy NOUN ecj-11558 14 6 depends depend VERB ecj-11558 14 7 on on ADP ecj-11558 14 8 both both CCONJ ecj-11558 14 9 the the DET ecj-11558 14 10 patient patient NOUN ecj-11558 14 11 ’s ’s PART ecj-11558 14 12 characteristics characteristic NOUN ecj-11558 14 13 and and CCONJ ecj-11558 14 14 the the DET ecj-11558 14 15 hospital hospital NOUN ecj-11558 14 16 ’s ’s PART ecj-11558 14 17 expertise expertise NOUN ecj-11558 14 18 and/or and/or CCONJ ecj-11558 14 19 available available ADJ ecj-11558 14 20 procedures procedure NOUN ecj-11558 14 21 . . PUNCT ecj-11558 15 1 catheter catheter NOUN ecj-11558 15 2 - - PUNCT ecj-11558 15 3 based base VERB ecj-11558 15 4 therapy therapy NOUN ecj-11558 15 5 ( ( PUNCT ecj-11558 15 6 cdt cdt PROPN ecj-11558 15 7 ) ) PUNCT ecj-11558 15 8 combining combine VERB ecj-11558 15 9 local local ADJ ecj-11558 15 10 fibrinolysis fibrinolysis NOUN ecj-11558 15 11 with with ADP ecj-11558 15 12 mechanical mechanical ADJ ecj-11558 15 13 thrombectomy thrombectomy NOUN ecj-11558 15 14 offers offer VERB ecj-11558 15 15 the the DET ecj-11558 15 16 potential potential ADJ ecj-11558 15 17 advantage advantage NOUN ecj-11558 15 18 of of ADP ecj-11558 15 19 increased increase VERB ecj-11558 15 20 efficacy efficacy NOUN ecj-11558 15 21 of of ADP ecj-11558 15 22 thrombus thrombus NOUN ecj-11558 15 23 dissolution dissolution NOUN ecj-11558 15 24 , , PUNCT ecj-11558 15 25 due due ADP ecj-11558 15 26 to to ADP ecj-11558 15 27 the the DET ecj-11558 15 28 synergic synergic ADJ ecj-11558 15 29 effects effect NOUN ecj-11558 15 30 of of ADP ecj-11558 15 31 higher high ADJ ecj-11558 15 32 local local ADJ ecj-11558 15 33 fibrinolytic fibrinolytic ADJ ecj-11558 15 34 drug drug NOUN ecj-11558 15 35 concentrations concentration NOUN ecj-11558 15 36 and and CCONJ ecj-11558 15 37 mechanical mechanical ADJ ecj-11558 15 38 disruption disruption NOUN ecj-11558 15 39 with with ADP ecj-11558 15 40 greater great ADJ ecj-11558 15 41 exposed expose VERB ecj-11558 15 42 thrombus thrombus NOUN ecj-11558 15 43 surface surface NOUN ecj-11558 15 44 area area NOUN ecj-11558 15 45 . . PUNCT ecj-11558 16 1 cdt cdt PROPN ecj-11558 16 2 may may AUX ecj-11558 16 3 even even ADV ecj-11558 16 4 offer offer VERB ecj-11558 16 5 the the DET ecj-11558 16 6 advantage advantage NOUN ecj-11558 16 7 of of ADP ecj-11558 16 8 decreased decrease VERB ecj-11558 16 9 hemorrhagic hemorrhagic ADJ ecj-11558 16 10 complications complication NOUN ecj-11558 16 11 . . PUNCT ecj-11558 17 1 although although SCONJ ecj-11558 17 2 the the DET ecj-11558 17 3 evidence evidence NOUN ecj-11558 17 4 of of ADP ecj-11558 17 5 the the DET ecj-11558 17 6 efficacy efficacy NOUN ecj-11558 17 7 and and CCONJ ecj-11558 17 8 safety safety NOUN ecj-11558 17 9 of of ADP ecj-11558 17 10 these these DET ecj-11558 17 11 techniques technique NOUN ecj-11558 17 12 is be AUX ecj-11558 17 13 becoming become VERB ecj-11558 17 14 consistent consistent ADJ ecj-11558 17 15 , , PUNCT ecj-11558 17 16 randomized randomize VERB ecj-11558 17 17 controlled control VERB ecj-11558 17 18 trials trial NOUN ecj-11558 17 19 to to PART ecj-11558 17 20 evaluate evaluate VERB ecj-11558 17 21 clinical clinical ADJ ecj-11558 17 22 outcomes outcome NOUN ecj-11558 17 23 are be AUX ecj-11558 17 24 still still ADV ecj-11558 17 25 lacking.5 lacking.5 ADP ecj-11558 17 26 the the DET ecj-11558 17 27 ekosonic ekosonic ADJ ecj-11558 17 28 endovascular endovascular ADJ ecj-11558 17 29 system system NOUN ecj-11558 17 30 ( ( PUNCT ecj-11558 17 31 ekos ekos ADV ecj-11558 17 32 corporation corporation PROPN ecj-11558 17 33 , , PUNCT ecj-11558 17 34 bothell bothell PROPN ecj-11558 17 35 , , PUNCT ecj-11558 17 36 washington washington PROPN ecj-11558 17 37 , , PUNCT ecj-11558 17 38 usa usa PROPN ecj-11558 17 39 ) ) PUNCT ecj-11558 17 40 is be AUX ecj-11558 17 41 the the DET ecj-11558 17 42 only only ADJ ecj-11558 17 43 device device NOUN ecj-11558 17 44 approved approve VERB ecj-11558 17 45 by by ADP ecj-11558 17 46 fda6 fda6 NOUN ecj-11558 17 47 correspondence correspondence NOUN ecj-11558 17 48 : : PUNCT ecj-11558 17 49 vincenza vincenza PROPN ecj-11558 17 50 c. c. PROPN ecj-11558 17 51 alvich alvich PROPN ecj-11558 17 52 , , PUNCT ecj-11558 17 53 emergency emergency NOUN ecj-11558 17 54 medicine medicine NOUN ecj-11558 17 55 unit unit NOUN ecj-11558 17 56 , , PUNCT ecj-11558 17 57 irccs ircc VERB ecj-11558 17 58 polyclinic polyclinic ADJ ecj-11558 17 59 san san PROPN ecj-11558 17 60 matteo matteo PROPN ecj-11558 17 61 foundation foundation PROPN ecj-11558 17 62 , , PUNCT ecj-11558 17 63 viale viale PROPN ecj-11558 17 64 camillo camillo PROPN ecj-11558 17 65 golgi golgi NOUN ecj-11558 17 66 , , PUNCT ecj-11558 17 67 19 19 NUM ecj-11558 17 68 , , PUNCT ecj-11558 17 69 27100 27100 NUM ecj-11558 17 70 pavia pavia PROPN ecj-11558 17 71 pv pv NOUN ecj-11558 17 72 , , PUNCT ecj-11558 17 73 italy italy PROPN ecj-11558 17 74 . . PUNCT ecj-11558 18 1 tel tel PROPN ecj-11558 18 2 . . PUNCT ecj-11558 18 3 : : PUNCT ecj-11558 19 1 +39.3299637053 +39.3299637053 PUNCT ecj-11558 19 2 e e X ecj-11558 19 3 - - NOUN ecj-11558 19 4 mail mail NOUN ecj-11558 19 5 : : PUNCT ecj-11558 19 6 vincenzaclelia.alvich01@universitadipavia.it vincenzaclelia.alvich01@universitadipavia.it NOUN ecj-11558 19 7 key key ADJ ecj-11558 19 8 words word NOUN ecj-11558 19 9 : : PUNCT ecj-11558 19 10 pulmonary pulmonary ADJ ecj-11558 19 11 embolism embolism NOUN ecj-11558 19 12 ; ; PUNCT ecj-11558 19 13 head head NOUN ecj-11558 19 14 trauma trauma NOUN ecj-11558 19 15 ; ; PUNCT ecj-11558 19 16 thrombolysis thrombolysis ADV ecj-11558 19 17 ; ; PUNCT ecj-11558 19 18 ekos ekos ADV ecj-11558 19 19 ; ; PUNCT ecj-11558 19 20 multidisciplinary multidisciplinary ADJ ecj-11558 19 21 approach approach NOUN ecj-11558 19 22 . . PUNCT ecj-11558 20 1 conflict conflict NOUN ecj-11558 20 2 of of ADP ecj-11558 20 3 interest interest NOUN ecj-11558 20 4 : : PUNCT ecj-11558 20 5 the the DET ecj-11558 20 6 authors author NOUN ecj-11558 20 7 declare declare VERB ecj-11558 20 8 no no DET ecj-11558 20 9 potential potential ADJ ecj-11558 20 10 conflict conflict NOUN ecj-11558 20 11 of of ADP ecj-11558 20 12 interest interest NOUN ecj-11558 20 13 , , PUNCT ecj-11558 20 14 and and CCONJ ecj-11558 20 15 all all DET ecj-11558 20 16 authors author NOUN ecj-11558 20 17 confirm confirm VERB ecj-11558 20 18 accuracy accuracy NOUN ecj-11558 20 19 . . PUNCT ecj-11558 21 1 ethics ethic NOUN ecj-11558 21 2 approval approval NOUN ecj-11558 21 3 and and CCONJ ecj-11558 21 4 consent consent NOUN ecj-11558 21 5 to to PART ecj-11558 21 6 participate participate VERB ecj-11558 21 7 : : PUNCT ecj-11558 21 8 no no DET ecj-11558 21 9 ethical ethical ADJ ecj-11558 21 10 committee committee NOUN ecj-11558 21 11 approval approval NOUN ecj-11558 21 12 was be AUX ecj-11558 21 13 required require VERB ecj-11558 21 14 for for ADP ecj-11558 21 15 this this DET ecj-11558 21 16 case case NOUN ecj-11558 21 17 report report NOUN ecj-11558 21 18 by by ADP ecj-11558 21 19 the the DET ecj-11558 21 20 department department NOUN ecj-11558 21 21 because because SCONJ ecj-11558 21 22 this this DET ecj-11558 21 23 article article NOUN ecj-11558 21 24 does do AUX ecj-11558 21 25 not not PART ecj-11558 21 26 contain contain VERB ecj-11558 21 27 any any DET ecj-11558 21 28 studies study NOUN ecj-11558 21 29 with with ADP ecj-11558 21 30 human human ADJ ecj-11558 21 31 participants participant NOUN ecj-11558 21 32 or or CCONJ ecj-11558 21 33 animals animal NOUN ecj-11558 21 34 . . PUNCT ecj-11558 22 1 informed inform VERB ecj-11558 22 2 consent consent NOUN ecj-11558 22 3 was be AUX ecj-11558 22 4 obtained obtain VERB ecj-11558 22 5 from from ADP ecj-11558 22 6 the the DET ecj-11558 22 7 patient patient NOUN ecj-11558 22 8 included include VERB ecj-11558 22 9 in in ADP ecj-11558 22 10 this this DET ecj-11558 22 11 study study NOUN ecj-11558 22 12 . . PUNCT ecj-11558 23 1 patient patient ADJ ecj-11558 23 2 consent consent NOUN ecj-11558 23 3 for for ADP ecj-11558 23 4 publication publication NOUN ecj-11558 23 5 : : PUNCT ecj-11558 23 6 the the DET ecj-11558 23 7 patient patient NOUN ecj-11558 23 8 gave give VERB ecj-11558 23 9 his his PRON ecj-11558 23 10 written write VERB ecj-11558 23 11 consent consent NOUN ecj-11558 23 12 to to PART ecj-11558 23 13 use use VERB ecj-11558 23 14 his his PRON ecj-11558 23 15 personal personal ADJ ecj-11558 23 16 data datum NOUN ecj-11558 23 17 for for ADP ecj-11558 23 18 the the DET ecj-11558 23 19 publication publication NOUN ecj-11558 23 20 of of ADP ecj-11558 23 21 this this DET ecj-11558 23 22 case case NOUN ecj-11558 23 23 report report NOUN ecj-11558 23 24 and and CCONJ ecj-11558 23 25 any any DET ecj-11558 23 26 accompanying accompanying ADJ ecj-11558 23 27 images image NOUN ecj-11558 23 28 . . PUNCT ecj-11558 24 1 availability availability NOUN ecj-11558 24 2 of of ADP ecj-11558 24 3 data datum NOUN ecj-11558 24 4 and and CCONJ ecj-11558 24 5 materials material NOUN ecj-11558 24 6 : : PUNCT ecj-11558 24 7 all all DET ecj-11558 24 8 data datum NOUN ecj-11558 24 9 underlying underlie VERB ecj-11558 24 10 the the DET ecj-11558 24 11 findings finding NOUN ecj-11558 24 12 are be AUX ecj-11558 24 13 fully fully ADV ecj-11558 24 14 available available ADJ ecj-11558 24 15 . . PUNCT ecj-11558 25 1 acknowledgment acknowledgment NOUN ecj-11558 25 2 : : PUNCT ecj-11558 25 3 a a DET ecj-11558 25 4 special special ADJ ecj-11558 25 5 thanks thank NOUN ecj-11558 25 6 to to ADP ecj-11558 25 7 the the DET ecj-11558 25 8 intensive intensive ADJ ecj-11558 25 9 care care NOUN ecj-11558 25 10 unit unit NOUN ecj-11558 25 11 doctor doctor NOUN ecj-11558 25 12 , , PUNCT ecj-11558 25 13 the the DET ecj-11558 25 14 neurosurgeon neurosurgeon NOUN ecj-11558 25 15 , , PUNCT ecj-11558 25 16 and and CCONJ ecj-11558 25 17 the the DET ecj-11558 25 18 interventional interventional ADJ ecj-11558 25 19 radiologist radiologist NOUN ecj-11558 25 20 who who PRON ecj-11558 25 21 participated participate VERB ecj-11558 25 22 in in ADP ecj-11558 25 23 managing manage VERB ecj-11558 25 24 this this DET ecj-11558 25 25 patient patient NOUN ecj-11558 25 26 . . PUNCT ecj-11558 26 1 funding funding NOUN ecj-11558 26 2 : : PUNCT ecj-11558 26 3 none none NOUN ecj-11558 26 4 . . PUNCT ecj-11558 27 1 received receive VERB ecj-11558 27 2 : : PUNCT ecj-11558 27 3 1 1 NUM ecj-11558 27 4 july july PROPN ecj-11558 27 5 2023 2023 NUM ecj-11558 27 6 . . PUNCT ecj-11558 28 1 accepted accept VERB ecj-11558 28 2 : : PUNCT ecj-11558 28 3 22 22 NUM ecj-11558 28 4 september september PROPN ecj-11558 28 5 2023 2023 NUM ecj-11558 28 6 . . PUNCT ecj-11558 29 1 early early ADJ ecj-11558 29 2 view view NOUN ecj-11558 29 3 : : PUNCT ecj-11558 29 4 5 5 NUM ecj-11558 29 5 october october NOUN ecj-11558 29 6 2023 2023 NUM ecj-11558 29 7 . . PUNCT ecj-11558 30 1 this this DET ecj-11558 30 2 work work NOUN ecj-11558 30 3 is be AUX ecj-11558 30 4 licensed license VERB ecj-11558 30 5 under under ADP ecj-11558 30 6 a a DET ecj-11558 30 7 creative creative ADJ ecj-11558 30 8 commons common NOUN ecj-11558 30 9 attribution attribution NOUN ecj-11558 30 10 4.0 4.0 NUM ecj-11558 30 11 license license NOUN ecj-11558 30 12 ( ( PUNCT ecj-11558 30 13 by by ADP ecj-11558 30 14 - - PUNCT ecj-11558 30 15 nc nc PROPN ecj-11558 30 16 4.0 4.0 NUM ecj-11558 30 17 ) ) PUNCT ecj-11558 30 18 . . PUNCT ecj-11558 31 1 © © PROPN ecj-11558 31 2 copyright copyright NOUN ecj-11558 31 3 : : PUNCT ecj-11558 31 4 the the DET ecj-11558 31 5 author(s author(s PROPN ecj-11558 31 6 ) ) PUNCT ecj-11558 31 7 , , PUNCT ecj-11558 31 8 2023 2023 NUM ecj-11558 31 9 licensee licensee NOUN ecj-11558 31 10 pagepress pagepress NOUN ecj-11558 31 11 , , PUNCT ecj-11558 31 12 italy italy PROPN ecj-11558 31 13 emergency emergency PROPN ecj-11558 31 14 care care PROPN ecj-11558 31 15 journal journal PROPN ecj-11558 31 16 2023 2023 NUM ecj-11558 31 17 ; ; PUNCT ecj-11558 31 18 19:11558 19:11558 PROPN ecj-11558 31 19 doi:10.4081 doi:10.4081 PROPN ecj-11558 31 20 / / SYM ecj-11558 31 21 ecj.2023.11558 ecj.2023.11558 NUM ecj-11558 31 22 publisher publisher NOUN ecj-11558 31 23 's 's PART ecj-11558 31 24 note note NOUN ecj-11558 31 25 : : PUNCT ecj-11558 31 26 all all DET ecj-11558 31 27 claims claim NOUN ecj-11558 31 28 expressed express VERB ecj-11558 31 29 in in ADP ecj-11558 31 30 this this DET ecj-11558 31 31 article article NOUN ecj-11558 31 32 are be AUX ecj-11558 31 33 solely solely ADV ecj-11558 31 34 those those PRON ecj-11558 31 35 of of ADP ecj-11558 31 36 the the DET ecj-11558 31 37 authors author NOUN ecj-11558 31 38 and and CCONJ ecj-11558 31 39 do do AUX ecj-11558 31 40 not not PART ecj-11558 31 41 necessarily necessarily ADV ecj-11558 31 42 represent represent VERB ecj-11558 31 43 those those PRON ecj-11558 31 44 of of ADP ecj-11558 31 45 their their PRON ecj-11558 31 46 affiliated affiliated ADJ ecj-11558 31 47 organizations organization NOUN ecj-11558 31 48 , , PUNCT ecj-11558 31 49 or or CCONJ ecj-11558 31 50 those those PRON ecj-11558 31 51 of of ADP ecj-11558 31 52 the the DET ecj-11558 31 53 publisher publisher NOUN ecj-11558 31 54 , , PUNCT ecj-11558 31 55 the the DET ecj-11558 31 56 editors editor NOUN ecj-11558 31 57 and and CCONJ ecj-11558 31 58 the the DET ecj-11558 31 59 reviewers reviewer NOUN ecj-11558 31 60 . . PUNCT ecj-11558 32 1 any any DET ecj-11558 32 2 product product NOUN ecj-11558 32 3 that that PRON ecj-11558 32 4 may may AUX ecj-11558 32 5 be be AUX ecj-11558 32 6 evaluated evaluate VERB ecj-11558 32 7 in in ADP ecj-11558 32 8 this this DET ecj-11558 32 9 article article NOUN ecj-11558 32 10 or or CCONJ ecj-11558 32 11 claim claim NOUN ecj-11558 32 12 that that PRON ecj-11558 32 13 may may AUX ecj-11558 32 14 be be AUX ecj-11558 32 15 made make VERB ecj-11558 32 16 by by ADP ecj-11558 32 17 its its PRON ecj-11558 32 18 manufacturer manufacturer NOUN ecj-11558 32 19 is be AUX ecj-11558 32 20 not not PART ecj-11558 32 21 guaranteed guarantee VERB ecj-11558 32 22 or or CCONJ ecj-11558 32 23 endorsed endorse VERB ecj-11558 32 24 by by ADP ecj-11558 32 25 the the DET ecj-11558 32 26 publisher publisher NOUN ecj-11558 32 27 . . PUNCT ecj-11558 33 1 concomitant concomitant ADJ ecj-11558 33 2 high high ADJ ecj-11558 33 3 - - PUNCT ecj-11558 33 4 risk risk NOUN ecj-11558 33 5 pulmonary pulmonary NOUN ecj-11558 33 6 embolism embolism NOUN ecj-11558 33 7 and and CCONJ ecj-11558 33 8 subdural subdural ADJ ecj-11558 33 9 hematoma hematoma NOUN ecj-11558 33 10 : : PUNCT ecj-11558 33 11 endo endo NOUN ecj-11558 33 12 - - PUNCT ecj-11558 33 13 vascular vascular ADJ ecj-11558 33 14 system system NOUN ecj-11558 33 15 thrombolysis thrombolysis NOUN ecj-11558 33 16 as as ADP ecj-11558 33 17 a a DET ecj-11558 33 18 possible possible ADJ ecj-11558 33 19 solution solution NOUN ecj-11558 33 20 to to ADP ecj-11558 33 21 a a DET ecj-11558 33 22 difficult difficult ADJ ecj-11558 33 23 challenge challenge NOUN ecj-11558 33 24 vincenza vincenza NOUN ecj-11558 33 25 clelia clelia PROPN ecj-11558 33 26 alvich alvich PROPN ecj-11558 33 27 , , PUNCT ecj-11558 33 28 marco marco PROPN ecj-11558 33 29 valentini valentini PROPN ecj-11558 33 30 , , PUNCT ecj-11558 33 31 debora debora PROPN ecj-11558 33 32 monti monti PROPN ecj-11558 33 33 , , PUNCT ecj-11558 33 34 stefano stefano PROPN ecj-11558 33 35 perlini perlini PROPN ecj-11558 33 36 , , PUNCT ecj-11558 33 37 francesco francesco PROPN ecj-11558 33 38 salinaro salinaro NOUN ecj-11558 33 39 emergency emergency NOUN ecj-11558 33 40 medicine medicine NOUN ecj-11558 33 41 unit unit NOUN ecj-11558 33 42 , , PUNCT ecj-11558 33 43 irccs ircc VERB ecj-11558 33 44 polyclinic polyclinic ADJ ecj-11558 33 45 san san PROPN ecj-11558 33 46 matteo matteo PROPN ecj-11558 33 47 foundation foundation PROPN ecj-11558 33 48 , , PUNCT ecj-11558 33 49 pavia pavia PROPN ecj-11558 33 50 ; ; PUNCT ecj-11558 33 51 department department NOUN ecj-11558 33 52 of of ADP ecj-11558 33 53 internal internal ADJ ecj-11558 33 54 medicine medicine NOUN ecj-11558 33 55 , , PUNCT ecj-11558 33 56 university university NOUN ecj-11558 33 57 of of ADP ecj-11558 33 58 pavia pavia PROPN ecj-11558 33 59 , , PUNCT ecj-11558 33 60 italy italy PROPN ecj-11558 33 61 non non PROPN ecj-11558 33 62 -co -co PROPN ecj-11558 33 63 mmerc mmerc PROPN ecj-11558 33 64 ial ial PROPN ecj-11558 34 1 us us PROPN ecj-11558 34 2 e e NOUN ecj-11558 34 3 o o NOUN ecj-11558 34 4 nly nly ADV ecj-11558 34 5 that that PRON ecj-11558 34 6 has have AUX ecj-11558 34 7 been be AUX ecj-11558 34 8 found find VERB ecj-11558 34 9 feasible feasible ADJ ecj-11558 34 10 , , PUNCT ecj-11558 34 11 well well ADV ecj-11558 34 12 - - PUNCT ecj-11558 34 13 tolerated tolerate VERB ecj-11558 34 14 , , PUNCT ecj-11558 34 15 and and CCONJ ecj-11558 34 16 effective effective ADJ ecj-11558 34 17 , , PUNCT ecj-11558 34 18 despite despite SCONJ ecj-11558 34 19 employing employ VERB ecj-11558 34 20 only only ADV ecj-11558 34 21 a a DET ecj-11558 34 22 quarter quarter NOUN ecj-11558 34 23 of of ADP ecj-11558 34 24 the the DET ecj-11558 34 25 standard standard ADJ ecj-11558 34 26 systemic systemic PROPN ecj-11558 34 27 rt rt PROPN ecj-11558 34 28 - - PUNCT ecj-11558 34 29 pa pa PROPN ecj-11558 34 30 dose.6 dose.6 PROPN ecj-11558 34 31 although although SCONJ ecj-11558 34 32 in in ADP ecj-11558 34 33 recent recent ADJ ecj-11558 34 34 years year NOUN ecj-11558 34 35 , , PUNCT ecj-11558 34 36 the the DET ecj-11558 34 37 scientific scientific ADJ ecj-11558 34 38 literature literature NOUN ecj-11558 34 39 has have AUX ecj-11558 34 40 been be AUX ecj-11558 34 41 consolidating consolidate VERB ecj-11558 34 42 the the DET ecj-11558 34 43 role role NOUN ecj-11558 34 44 of of ADP ecj-11558 34 45 endovascular endovascular ADJ ecj-11558 34 46 systems system NOUN ecj-11558 34 47 in in ADP ecj-11558 34 48 the the DET ecj-11558 34 49 treatment treatment NOUN ecj-11558 34 50 of of ADP ecj-11558 34 51 high high ADJ ecj-11558 34 52 - - PUNCT ecj-11558 34 53 risk risk NOUN ecj-11558 34 54 pe pe NOUN ecj-11558 34 55 patients patient NOUN ecj-11558 34 56 with with ADP ecj-11558 34 57 major major ADJ ecj-11558 34 58 bleeding bleeding NOUN ecj-11558 34 59 risk,7,8 risk,7,8 PRON ecj-11558 34 60 poor poor ADJ ecj-11558 34 61 data datum NOUN ecj-11558 34 62 are be AUX ecj-11558 34 63 available available ADJ ecj-11558 34 64 to to PART ecj-11558 34 65 evaluate evaluate VERB ecj-11558 34 66 the the DET ecj-11558 34 67 prognosis prognosis NOUN ecj-11558 34 68 of of ADP ecj-11558 34 69 patients patient NOUN ecj-11558 34 70 with with ADP ecj-11558 34 71 actual actual ADJ ecj-11558 34 72 bleeding bleeding NOUN ecj-11558 34 73 who who PRON ecj-11558 34 74 concurrently concurrently ADV ecj-11558 34 75 require require VERB ecj-11558 34 76 early early ADJ ecj-11558 34 77 pulmonary pulmonary ADJ ecj-11558 34 78 thrombus thrombus NOUN ecj-11558 34 79 dissolution dissolution NOUN ecj-11558 34 80 . . PUNCT ecj-11558 35 1 we we PRON ecj-11558 35 2 herewith herewith AUX ecj-11558 35 3 report report VERB ecj-11558 35 4 a a DET ecj-11558 35 5 case case NOUN ecj-11558 35 6 of of ADP ecj-11558 35 7 pe pe PROPN ecj-11558 35 8 that that PRON ecj-11558 35 9 was be AUX ecj-11558 35 10 successfully successfully ADV ecj-11558 35 11 treated treat VERB ecj-11558 35 12 with with ADP ecj-11558 35 13 the the DET ecj-11558 35 14 ekosonic ekosonic ADJ ecj-11558 35 15 endovascular endovascular ADJ ecj-11558 35 16 system system NOUN ecj-11558 35 17 as as ADP ecj-11558 35 18 an an DET ecj-11558 35 19 alternative alternative NOUN ecj-11558 35 20 to to ADP ecj-11558 35 21 systemic systemic ADJ ecj-11558 35 22 thrombolysis thrombolysis NOUN ecj-11558 35 23 , , PUNCT ecj-11558 35 24 due due ADP ecj-11558 35 25 to to ADP ecj-11558 35 26 a a DET ecj-11558 35 27 concomitant concomitant ADJ ecj-11558 35 28 subdural subdural ADJ ecj-11558 35 29 hematoma hematoma NOUN ecj-11558 35 30 . . PUNCT ecj-11558 36 1 case case NOUN ecj-11558 36 2 report report VERB ecj-11558 36 3 a a DET ecj-11558 36 4 60 60 NUM ecj-11558 36 5 - - PUNCT ecj-11558 36 6 year year NOUN ecj-11558 36 7 - - PUNCT ecj-11558 36 8 old old ADJ ecj-11558 36 9 man man NOUN ecj-11558 36 10 was be AUX ecj-11558 36 11 found find VERB ecj-11558 36 12 in in ADP ecj-11558 36 13 a a DET ecj-11558 36 14 confused confused ADJ ecj-11558 36 15 state state NOUN ecj-11558 36 16 after after ADP ecj-11558 36 17 a a DET ecj-11558 36 18 very very ADV ecj-11558 36 19 likely likely ADJ ecj-11558 36 20 sudden sudden ADJ ecj-11558 36 21 fall fall NOUN ecj-11558 36 22 . . PUNCT ecj-11558 37 1 he he PRON ecj-11558 37 2 was be AUX ecj-11558 37 3 admitted admit VERB ecj-11558 37 4 to to ADP ecj-11558 37 5 our our PRON ecj-11558 37 6 emergency emergency NOUN ecj-11558 37 7 department department NOUN ecj-11558 37 8 for for ADP ecj-11558 37 9 a a DET ecj-11558 37 10 head head NOUN ecj-11558 37 11 injury injury NOUN ecj-11558 37 12 , , PUNCT ecj-11558 37 13 left leave VERB ecj-11558 37 14 otorrhagia otorrhagia NOUN ecj-11558 37 15 , , PUNCT ecj-11558 37 16 and and CCONJ ecj-11558 37 17 sphincter sphincter ADJ ecj-11558 37 18 release release NOUN ecj-11558 37 19 . . PUNCT ecj-11558 38 1 during during ADP ecj-11558 38 2 the the DET ecj-11558 38 3 first first ADJ ecj-11558 38 4 evaluation evaluation NOUN ecj-11558 38 5 , , PUNCT ecj-11558 38 6 he he PRON ecj-11558 38 7 was be AUX ecj-11558 38 8 amnesic amnesic ADJ ecj-11558 38 9 for for ADP ecj-11558 38 10 the the DET ecj-11558 38 11 event event NOUN ecj-11558 38 12 , , PUNCT ecj-11558 38 13 except except SCONJ ecj-11558 38 14 for for ADP ecj-11558 38 15 a a DET ecj-11558 38 16 sudden sudden ADJ ecj-11558 38 17 feeling feeling NOUN ecj-11558 38 18 of of ADP ecj-11558 38 19 dizziness dizziness NOUN ecj-11558 38 20 just just ADV ecj-11558 38 21 before before ADP ecj-11558 38 22 the the DET ecj-11558 38 23 fall fall NOUN ecj-11558 38 24 . . PUNCT ecj-11558 39 1 although although SCONJ ecj-11558 39 2 conscious conscious ADJ ecj-11558 39 3 and and CCONJ ecj-11558 39 4 reactive reactive NOUN ecj-11558 39 5 , , PUNCT ecj-11558 39 6 he he PRON ecj-11558 39 7 was be AUX ecj-11558 39 8 visibly visibly ADV ecj-11558 39 9 confused confused ADJ ecj-11558 39 10 . . PUNCT ecj-11558 40 1 no no DET ecj-11558 40 2 focal focal ADJ ecj-11558 40 3 neurological neurological ADJ ecj-11558 40 4 signs sign NOUN ecj-11558 40 5 were be AUX ecj-11558 40 6 reported report VERB ecj-11558 40 7 . . PUNCT ecj-11558 41 1 upon upon SCONJ ecj-11558 41 2 admission admission NOUN ecj-11558 41 3 , , PUNCT ecj-11558 41 4 vital vital ADJ ecj-11558 41 5 parameters parameter NOUN ecj-11558 41 6 were be AUX ecj-11558 41 7 as as SCONJ ecj-11558 41 8 follows follow VERB ecj-11558 41 9 : : PUNCT ecj-11558 41 10 blood blood NOUN ecj-11558 41 11 pressure pressure NOUN ecj-11558 41 12 ( ( PUNCT ecj-11558 41 13 bp bp PROPN ecj-11558 41 14 ) ) PUNCT ecj-11558 41 15 150/88 150/88 NUM ecj-11558 41 16 mmhg mmhg NOUN ecj-11558 41 17 , , PUNCT ecj-11558 41 18 heart heart NOUN ecj-11558 41 19 rate rate NOUN ecj-11558 41 20 ( ( PUNCT ecj-11558 41 21 hr hr NOUN ecj-11558 41 22 ) ) PUNCT ecj-11558 41 23     SPACE ecj-11558 41 24 115 115 NUM ecj-11558 41 25 bpm bpm NOUN ecj-11558 41 26 , , PUNCT ecj-11558 41 27 arterial arterial ADJ ecj-11558 41 28 oxygen oxygen NOUN ecj-11558 41 29 saturation saturation NOUN ecj-11558 41 30 ( ( PUNCT ecj-11558 41 31 so2 so2 NOUN ecj-11558 41 32 ) ) PUNCT ecj-11558 41 33 96 96 NUM ecj-11558 41 34 % % NOUN ecj-11558 41 35 on on ADP ecj-11558 41 36 a a DET ecj-11558 41 37 reservoir reservoir NOUN ecj-11558 41 38 mask mask NOUN ecj-11558 41 39 , , PUNCT ecj-11558 41 40 and and CCONJ ecj-11558 41 41 respiratory respiratory ADJ ecj-11558 41 42 rate rate NOUN ecj-11558 41 43 ( ( PUNCT ecj-11558 41 44 rr rr NOUN ecj-11558 41 45 ) ) PUNCT ecj-11558 41 46 23 23 NUM ecj-11558 41 47 bpm bpm NOUN ecj-11558 41 48 ( ( PUNCT ecj-11558 41 49 table table NOUN ecj-11558 41 50 1 1 NUM ecj-11558 41 51 ) ) PUNCT ecj-11558 41 52 . . PUNCT ecj-11558 42 1 the the DET ecj-11558 42 2 electrocardiogram electrocardiogram NOUN ecj-11558 42 3 showed show VERB ecj-11558 42 4 sinus sinus NOUN ecj-11558 42 5 tachycardia tachycardia NOUN ecj-11558 42 6 , , PUNCT ecj-11558 42 7 qrs qrs PROPN ecj-11558 42 8 axis axis VERB ecj-11558 42 9 right right ADJ ecj-11558 42 10 deviation deviation NOUN ecj-11558 42 11 , , PUNCT ecj-11558 42 12 and and CCONJ ecj-11558 42 13 a a DET ecj-11558 42 14 mild mild ADJ ecj-11558 42 15 anterior anterior ADJ ecj-11558 42 16 - - ADJ ecj-11558 42 17 lateral lateral ADJ ecj-11558 42 18 st st ADJ ecj-11558 42 19 - - PUNCT ecj-11558 42 20 segment segment NOUN ecj-11558 42 21 depression depression NOUN ecj-11558 42 22 with with ADP ecj-11558 42 23 an an DET ecj-11558 42 24 incomplete incomplete ADJ ecj-11558 42 25 right right ADJ ecj-11558 42 26 bundle bundle NOUN ecj-11558 42 27 branch branch NOUN ecj-11558 42 28 block block NOUN ecj-11558 42 29 . . PUNCT ecj-11558 43 1 arterial arterial ADJ ecj-11558 43 2 blood blood NOUN ecj-11558 43 3 gas gas NOUN ecj-11558 43 4 analysis analysis NOUN ecj-11558 43 5 ( ( PUNCT ecj-11558 43 6 abg abg INTJ ecj-11558 43 7 ) ) PUNCT ecj-11558 43 8 on on ADP ecj-11558 43 9 room room NOUN ecj-11558 43 10 air air NOUN ecj-11558 43 11 showed show VERB ecj-11558 43 12 severe severe ADJ ecj-11558 43 13 hypocapnic hypocapnic PROPN ecj-11558 43 14 hypoxia hypoxia NOUN ecj-11558 43 15 with with ADP ecj-11558 43 16 the the DET ecj-11558 43 17 following follow VERB ecj-11558 43 18 values value NOUN ecj-11558 43 19 : : PUNCT ecj-11558 43 20 ph ph PROPN ecj-11558 43 21 7.37 7.37 NUM ecj-11558 43 22 mmhg mmhg NOUN ecj-11558 43 23 , , PUNCT ecj-11558 43 24 pco2 pco2 NOUN ecj-11558 43 25 24.8 24.8 NUM ecj-11558 43 26 mmhg mmhg NOUN ecj-11558 43 27 , , PUNCT ecj-11558 43 28 po2 po2 PROPN ecj-11558 43 29 44.2 44.2 NUM ecj-11558 43 30 mmhg mmhg NOUN ecj-11558 43 31 , , PUNCT ecj-11558 43 32 hco314 hco314 PROPN ecj-11558 43 33 mmol mmol NOUN ecj-11558 43 34 / / SYM ecj-11558 43 35 l l NOUN ecj-11558 43 36 , , PUNCT ecj-11558 43 37 so2 so2 PROPN ecj-11558 43 38 78 78 NUM ecj-11558 43 39 % % NOUN ecj-11558 43 40 , , PUNCT ecj-11558 43 41 po2(a po2(a NOUN ecj-11558 43 42 - - PUNCT ecj-11558 43 43 a a NOUN ecj-11558 43 44 ) ) PUNCT ecj-11558 43 45 75.9 75.9 NUM ecj-11558 43 46 mmhg mmhg NOUN ecj-11558 43 47 , , PUNCT ecj-11558 43 48 and and CCONJ ecj-11558 43 49 increased increase VERB ecj-11558 43 50 lactates lactate NOUN ecj-11558 43 51 ( ( PUNCT ecj-11558 43 52 8.5 8.5 NUM ecj-11558 43 53 mmol mmol NOUN ecj-11558 43 54 / / SYM ecj-11558 43 55 l l NOUN ecj-11558 43 56 ) ) PUNCT ecj-11558 43 57 . . PUNCT ecj-11558 44 1 a a PRON ecj-11558 44 2 point point NOUN ecj-11558 44 3 - - PUNCT ecj-11558 44 4 of of ADP ecj-11558 44 5 - - PUNCT ecj-11558 44 6 care care NOUN ecj-11558 44 7 ultrasound ultrasound NOUN ecj-11558 44 8 ( ( PUNCT ecj-11558 44 9 pocus pocus NOUN ecj-11558 44 10 ) ) PUNCT ecj-11558 44 11 revealed reveal VERB ecj-11558 44 12 a a DET ecj-11558 44 13 minimal minimal ADJ ecj-11558 44 14 right right ADJ ecj-11558 44 15 pleural pleural ADJ ecj-11558 44 16 effusion effusion NOUN ecj-11558 44 17 , , PUNCT ecj-11558 44 18 preserved preserve VERB ecj-11558 44 19 left leave VERB ecj-11558 44 20 ventricle ventricle NOUN ecj-11558 44 21 ejection ejection NOUN ecj-11558 44 22 fraction fraction NOUN ecj-11558 44 23 , , PUNCT ecj-11558 44 24 hyperkinetic hyperkinetic ADJ ecj-11558 44 25 and and CCONJ ecj-11558 44 26 dilated dilate VERB ecj-11558 44 27 right right ADJ ecj-11558 44 28 ventricle ventricle NOUN ecj-11558 44 29 . . PUNCT ecj-11558 45 1 compression compression NOUN ecj-11558 45 2 ultrasound ultrasound NOUN ecj-11558 45 3 showed show VERB ecj-11558 45 4 right right ADJ ecj-11558 45 5 femoral femoral ADJ ecj-11558 45 6 vein vein ADJ ecj-11558 45 7 thrombosis thrombosis NOUN ecj-11558 45 8 . . PUNCT ecj-11558 45 9     SPACE ecj-11558 45 10 during during ADP ecj-11558 45 11 the the DET ecj-11558 45 12 evaluation evaluation NOUN ecj-11558 45 13 , , PUNCT ecj-11558 45 14 the the DET ecj-11558 45 15 patient patient NOUN ecj-11558 45 16 had have VERB ecj-11558 45 17 a a DET ecj-11558 45 18 generalized generalized ADJ ecj-11558 45 19 seizure seizure NOUN ecj-11558 45 20 , , PUNCT ecj-11558 45 21 successfully successfully ADV ecj-11558 45 22 treated treat VERB ecj-11558 45 23 with with ADP ecj-11558 45 24 midazolam midazolam PROPN ecj-11558 45 25 3 3 NUM ecj-11558 45 26 mg mg NOUN ecj-11558 45 27 . . PUNCT ecj-11558 46 1 as as SCONJ ecj-11558 46 2 shown show VERB ecj-11558 46 3 in in ADP ecj-11558 46 4 figure figure NOUN ecj-11558 46 5 1 1 NUM ecj-11558 46 6 , , PUNCT ecj-11558 46 7 a a DET ecj-11558 46 8 cerebral cerebral ADJ ecj-11558 46 9 ct ct NOUN ecj-11558 46 10 scan scan NOUN ecj-11558 46 11 showed show VERB ecj-11558 46 12 multiple multiple ADJ ecj-11558 46 13 bilateral bilateral ADJ ecj-11558 46 14 anterior anterior NOUN ecj-11558 46 15 subarachnoid subarachnoid VERB ecj-11558 46 16 hemorrhages hemorrhage NOUN ecj-11558 46 17 of of ADP ecj-11558 46 18 the the DET ecj-11558 46 19 frontal frontal ADJ ecj-11558 46 20 lobes lobe NOUN ecj-11558 46 21 , , PUNCT ecj-11558 46 22 associated associate VERB ecj-11558 46 23 with with ADP ecj-11558 46 24 multiple multiple ADJ ecj-11558 46 25 subdural subdural ADJ ecj-11558 46 26 hemorrhages hemorrhage NOUN ecj-11558 46 27 in in ADP ecj-11558 46 28 both both CCONJ ecj-11558 46 29 the the DET ecj-11558 46 30 frontal frontal NOUN ecj-11558 46 31 and and CCONJ ecj-11558 46 32 the the DET ecj-11558 46 33 parietal parietal ADJ ecj-11558 46 34 right right ADJ ecj-11558 46 35 lobes lobe NOUN ecj-11558 46 36 . . PUNCT ecj-11558 47 1 moreover moreover ADV ecj-11558 47 2 , , PUNCT ecj-11558 47 3 another another DET ecj-11558 47 4 subdural subdural ADJ ecj-11558 47 5 hemorrhage hemorrhage NOUN ecj-11558 47 6 along along ADP ecj-11558 47 7 the the DET ecj-11558 47 8 right right ADJ ecj-11558 47 9 tentorium tentorium NOUN ecj-11558 47 10 and and CCONJ ecj-11558 47 11 the the DET ecj-11558 47 12 posterior posterior ADJ ecj-11558 47 13 part part NOUN ecj-11558 47 14 of of ADP ecj-11558 47 15 the the DET ecj-11558 47 16 ipsilateral ipsilateral ADJ ecj-11558 47 17 interhemispheric interhemispheric ADJ ecj-11558 47 18 portion portion NOUN ecj-11558 47 19 was be AUX ecj-11558 47 20 responsible responsible ADJ ecj-11558 47 21 for for ADP ecj-11558 47 22 a a DET ecj-11558 47 23 slight slight ADJ ecj-11558 47 24 shift shift NOUN ecj-11558 47 25 of of ADP ecj-11558 47 26 the the DET ecj-11558 47 27 cerebral cerebral ADJ ecj-11558 47 28 midline midline NOUN ecj-11558 47 29 to to ADP ecj-11558 47 30 the the DET ecj-11558 47 31 left left NOUN ecj-11558 47 32 . . PUNCT ecj-11558 48 1 further far ADV ecj-11558 48 2 subarachnoid subarachnoid ADJ ecj-11558 48 3 hemorrhages hemorrhage NOUN ecj-11558 48 4 were be AUX ecj-11558 48 5 reported report VERB ecj-11558 48 6 in in ADP ecj-11558 48 7 the the DET ecj-11558 48 8 inferior inferior ADJ ecj-11558 48 9 left left ADJ ecj-11558 48 10 temporal temporal ADJ ecj-11558 48 11 lobe lobe NOUN ecj-11558 48 12 , , PUNCT ecj-11558 48 13 associated associate VERB ecj-11558 48 14 with with ADP ecj-11558 48 15 a a DET ecj-11558 48 16 left left ADJ ecj-11558 48 17 occipital occipital NOUN ecj-11558 48 18 bone bone NOUN ecj-11558 48 19 fracture fracture NOUN ecj-11558 48 20 spreading spread VERB ecj-11558 48 21 to to ADP ecj-11558 48 22 the the DET ecj-11558 48 23 ipsilateral ipsilateral ADJ ecj-11558 48 24 petrous petrous ADJ ecj-11558 48 25 bone bone NOUN ecj-11558 48 26 and and CCONJ ecj-11558 48 27 involving involve VERB ecj-11558 48 28 both both CCONJ ecj-11558 48 29 the the DET ecj-11558 48 30 mastoid mastoid NOUN ecj-11558 48 31 and and CCONJ ecj-11558 48 32 the the DET ecj-11558 48 33 bone bone NOUN ecj-11558 48 34 walls wall NOUN ecj-11558 48 35 of of ADP ecj-11558 48 36 the the DET ecj-11558 48 37 external external ADJ ecj-11558 48 38 auditory auditory ADJ ecj-11558 48 39 canal canal NOUN ecj-11558 48 40 , , PUNCT ecj-11558 48 41 anteriorly anteriorly ADV ecj-11558 48 42 extending extend VERB ecj-11558 48 43 to to ADP ecj-11558 48 44 the the DET ecj-11558 48 45 sphenoid sphenoid NOUN ecj-11558 48 46 wing wing NOUN ecj-11558 48 47 . . PUNCT ecj-11558 49 1 a a DET ecj-11558 49 2 pulmonary pulmonary ADJ ecj-11558 49 3 angio angio NOUN ecj-11558 49 4 - - PUNCT ecj-11558 49 5 ct ct NUM ecj-11558 49 6 scan scan PROPN ecj-11558 49 7 confirmed confirm VERB ecj-11558 49 8 the the DET ecj-11558 49 9 presence presence NOUN ecj-11558 49 10 of of ADP ecj-11558 49 11 a a DET ecj-11558 49 12 severe severe ADJ ecj-11558 49 13 bilateral bilateral ADJ ecj-11558 49 14 pulmonary pulmonary ADJ ecj-11558 49 15 embolism embolism NOUN ecj-11558 49 16 , , PUNCT ecj-11558 49 17 confirming confirm VERB ecj-11558 49 18 the the DET ecj-11558 49 19 diagnostic diagnostic ADJ ecj-11558 49 20 suspicion suspicion NOUN ecj-11558 49 21 based base VERB ecj-11558 49 22 on on ADP ecj-11558 49 23 ultrasound ultrasound NOUN ecj-11558 49 24 evaluations evaluation NOUN ecj-11558 49 25 . . PUNCT ecj-11558 50 1 as as SCONJ ecj-11558 50 2 shown show VERB ecj-11558 50 3 in in ADP ecj-11558 50 4 figure figure NOUN ecj-11558 50 5 2 2 NUM ecj-11558 50 6 , , PUNCT ecj-11558 50 7 thrombi thrombi NOUN ecj-11558 50 8 were be AUX ecj-11558 50 9 completely completely ADV ecj-11558 50 10 obstructing obstruct VERB ecj-11558 50 11 both both CCONJ ecj-11558 50 12 pulmonary pulmonary ADJ ecj-11558 50 13 arteries artery NOUN ecj-11558 50 14 , , PUNCT ecj-11558 50 15 with with ADP ecj-11558 50 16 initial initial ADJ ecj-11558 50 17 pressure pressure NOUN ecj-11558 50 18 overload overload NOUN ecj-11558 50 19 and and CCONJ ecj-11558 50 20 increased increase VERB ecj-11558 50 21 transverse transverse NOUN ecj-11558 50 22 diameter diameter NOUN ecj-11558 50 23 of of ADP ecj-11558 50 24 the the DET ecj-11558 50 25 right right ADJ ecj-11558 50 26 ventricle ventricle NOUN ecj-11558 50 27 , , PUNCT ecj-11558 50 28 as as ADV ecj-11558 50 29 well well ADV ecj-11558 50 30 as as ADP ecj-11558 50 31 mild mild ADJ ecj-11558 50 32 reversal reversal NOUN ecj-11558 50 33 of of ADP ecj-11558 50 34 the the DET ecj-11558 50 35 physiological physiological ADJ ecj-11558 50 36 curvature curvature NOUN ecj-11558 50 37 of of ADP ecj-11558 50 38 the the DET ecj-11558 50 39 interventricular interventricular ADJ ecj-11558 50 40 septum septum NOUN ecj-11558 50 41 . . PUNCT ecj-11558 51 1 the the DET ecj-11558 51 2 case case NOUN ecj-11558 51 3 was be AUX ecj-11558 51 4 discussed discuss VERB ecj-11558 51 5 with with ADP ecj-11558 51 6 the the DET ecj-11558 51 7 intensive intensive ADJ ecj-11558 51 8 care care NOUN ecj-11558 51 9 unit unit NOUN ecj-11558 51 10 doctor doctor NOUN ecj-11558 51 11 , , PUNCT ecj-11558 51 12 the the DET ecj-11558 51 13 neurosurgeon neurosurgeon NOUN ecj-11558 51 14 , , PUNCT ecj-11558 51 15 and and CCONJ ecj-11558 51 16 the the DET ecj-11558 51 17 interventional interventional ADJ ecj-11558 51 18 radiologist radiologist NOUN ecj-11558 51 19 . . PUNCT ecj-11558 52 1 due due ADP ecj-11558 52 2 to to ADP ecj-11558 52 3 progressive progressive ADJ ecj-11558 52 4 hemodynamic hemodynamic ADJ ecj-11558 52 5 worsening worsen VERB ecj-11558 52 6 ( ( PUNCT ecj-11558 52 7 bp bp PROPN ecj-11558 52 8 decreasing decrease VERB ecj-11558 52 9 to to ADP ecj-11558 52 10 100/60 100/60 NUM ecj-11558 52 11 mmhg mmhg NOUN ecj-11558 52 12 , , PUNCT ecj-11558 52 13 heart heart NOUN ecj-11558 52 14 rate rate NOUN ecj-11558 52 15 increased increase VERB ecj-11558 52 16 to to ADP ecj-11558 52 17 121bpm 121bpm NUM ecj-11558 52 18 ) ) PUNCT ecj-11558 52 19 , , PUNCT ecj-11558 52 20 the the DET ecj-11558 52 21 poor poor ADJ ecj-11558 52 22 neurological neurological ADJ ecj-11558 52 23 and and CCONJ ecj-11558 52 24 respiratory respiratory ADJ ecj-11558 52 25 conditions condition NOUN ecj-11558 52 26 , , PUNCT ecj-11558 52 27 the the DET ecj-11558 52 28 patient patient NOUN ecj-11558 52 29 was be AUX ecj-11558 52 30 intubated intubate VERB ecj-11558 52 31 . . PUNCT ecj-11558 53 1 the the DET ecj-11558 53 2 team team NOUN ecj-11558 53 3 decided decide VERB ecj-11558 53 4 that that SCONJ ecj-11558 53 5 treatment treatment NOUN ecj-11558 53 6 pe pe PROPN ecj-11558 53 7 was be AUX ecj-11558 53 8 a a DET ecj-11558 53 9 priority priority NOUN ecj-11558 53 10 while while SCONJ ecj-11558 53 11 strictly strictly ADV ecj-11558 53 12 monitoring monitor VERB ecj-11558 53 13 the the DET ecj-11558 53 14 brain brain NOUN ecj-11558 53 15 lesions lesion NOUN ecj-11558 53 16 . . PUNCT ecj-11558 54 1 catheter catheter NOUN ecj-11558 54 2 - - PUNCT ecj-11558 54 3 directed direct VERB ecj-11558 54 4 fibrinolysis fibrinolysis NOUN ecj-11558 54 5 was be AUX ecj-11558 54 6 considered consider VERB ecj-11558 54 7 the the DET ecj-11558 54 8 best good ADJ ecj-11558 54 9 option option NOUN ecj-11558 54 10 , , PUNCT ecj-11558 54 11 and and CCONJ ecj-11558 54 12 the the DET ecj-11558 54 13 patient patient NOUN ecj-11558 54 14 was be AUX ecj-11558 54 15 transferred transfer VERB ecj-11558 54 16 to to ADP ecj-11558 54 17 the the DET ecj-11558 54 18 interventional interventional ADJ ecj-11558 54 19 radiology radiology NOUN ecj-11558 54 20 lab lab NOUN ecj-11558 54 21 . . PUNCT ecj-11558 55 1 an an DET ecj-11558 55 2 ultrasound ultrasound NOUN ecj-11558 55 3 - - PUNCT ecj-11558 55 4 guided guide VERB ecj-11558 55 5 left left ADJ ecj-11558 55 6 femoral femoral ADJ ecj-11558 55 7 approach approach NOUN ecj-11558 55 8 was be AUX ecj-11558 55 9 used use VERB ecj-11558 55 10 with with ADP ecj-11558 55 11 a a DET ecj-11558 55 12 6 6 NUM ecj-11558 55 13 f f NOUN ecj-11558 55 14 sheath sheath NOUN ecj-11558 55 15 . . PUNCT ecj-11558 56 1 a a DET ecj-11558 56 2 long long ADJ ecj-11558 56 3 0.035 0.035 NUM ecj-11558 56 4 ” " PUNCT ecj-11558 56 5 guidewire guidewire NOUN ecj-11558 56 6 and and CCONJ ecj-11558 56 7 a a DET ecj-11558 56 8 multipurpose multipurpose NOUN ecj-11558 56 9 catheter catheter NOUN ecj-11558 56 10 were be AUX ecj-11558 56 11 advanced advanced ADJ ecj-11558 56 12 through through ADP ecj-11558 56 13 the the DET ecj-11558 56 14 right right ADJ ecj-11558 56 15 heart heart NOUN ecj-11558 56 16 chambers chamber NOUN ecj-11558 56 17 towards towards ADP ecj-11558 56 18 the the DET ecj-11558 56 19 pulmonary pulmonary ADJ ecj-11558 56 20 arteries artery NOUN ecj-11558 56 21 , , PUNCT ecj-11558 56 22 where where SCONJ ecj-11558 56 23 multiple multiple ADJ ecj-11558 56 24 filling fill VERB ecj-11558 56 25 defects defect NOUN ecj-11558 56 26 were be AUX ecj-11558 56 27 confirmed confirm VERB ecj-11558 56 28 . . PUNCT ecj-11558 57 1 the the DET ecj-11558 57 2 ekos ekos PROPN ecj-11558 57 3 catheter catheter PROPN ecj-11558 57 4 , , PUNCT ecj-11558 57 5 a a DET ecj-11558 57 6 device device NOUN ecj-11558 57 7 characterized characterize VERB ecj-11558 57 8 by by ADP ecj-11558 57 9 a a DET ecj-11558 57 10 combination combination NOUN ecj-11558 57 11 of of ADP ecj-11558 57 12 an an DET ecj-11558 57 13 infusion infusion NOUN ecj-11558 57 14 catheter catheter NOUN ecj-11558 57 15 and and CCONJ ecj-11558 57 16 an an DET ecj-11558 57 17 ultrasonic ultrasonic ADJ ecj-11558 57 18 core core NOUN ecj-11558 57 19 , , PUNCT ecj-11558 57 20 was be AUX ecj-11558 57 21 exchanged exchange VERB ecj-11558 57 22 over over ADP ecj-11558 57 23 the the DET ecj-11558 57 24 guidewire guidewire NOUN ecj-11558 57 25 and and CCONJ ecj-11558 57 26 left leave VERB ecj-11558 57 27 into into ADP ecj-11558 57 28 the the DET ecj-11558 57 29 right right ADJ ecj-11558 57 30 pulmonary pulmonary ADJ ecj-11558 57 31 artery artery NOUN ecj-11558 57 32 with with ADP ecj-11558 57 33 locoregional locoregional ADJ ecj-11558 57 34 infusion infusion NOUN ecj-11558 57 35 of of ADP ecj-11558 57 36 low low ADJ ecj-11558 57 37 - - PUNCT ecj-11558 57 38 dose dose NOUN ecj-11558 57 39 alteplase alteplase NOUN ecj-11558 57 40 ( ( PUNCT ecj-11558 57 41 0.8mg 0.8mg PROPN ecj-11558 57 42 / / SYM ecj-11558 57 43 h h NOUN ecj-11558 57 44 for for ADP ecj-11558 57 45 24h 24h NOUN ecj-11558 57 46 ) ) PUNCT ecj-11558 57 47 with with ADP ecj-11558 57 48 saline saline ADJ ecj-11558 57 49 coolant coolant NOUN ecj-11558 57 50 at at ADP ecj-11558 57 51 35 35 NUM ecj-11558 57 52 ml ml NOUN ecj-11558 57 53 / / SYM ecj-11558 57 54 h. h. PROPN ecj-11558 57 55 moreover moreover ADV ecj-11558 57 56 , , PUNCT ecj-11558 57 57 a a DET ecj-11558 57 58 fixed fix VERB ecj-11558 57 59 infusion infusion NOUN ecj-11558 57 60 of of ADP ecj-11558 57 61 unfractionated unfractionate VERB ecj-11558 57 62 heparin heparin NOUN ecj-11558 57 63 ( ( PUNCT ecj-11558 57 64 500 500 NUM ecj-11558 57 65 iu iu NOUN ecj-11558 57 66 / / SYM ecj-11558 57 67 h h NOUN ecj-11558 57 68 ) ) PUNCT ecj-11558 57 69 was be AUX ecj-11558 57 70 left leave VERB ecj-11558 57 71 in in ADP ecj-11558 57 72 a a DET ecj-11558 57 73 peripheral peripheral ADJ ecj-11558 57 74 vein vein NOUN ecj-11558 57 75 . . PUNCT ecj-11558 58 1 case case NOUN ecj-11558 58 2 report report NOUN ecj-11558 58 3 [ [ X ecj-11558 58 4 emergency emergency NOUN ecj-11558 58 5 care care NOUN ecj-11558 58 6 journal journal NOUN ecj-11558 58 7 2023 2023 NUM ecj-11558 58 8 ; ; PUNCT ecj-11558 58 9 19:11558 19:11558 NUM ecj-11558 58 10 ] ] X ecj-11558 59 1 [ [ X ecj-11558 59 2 page page NOUN ecj-11558 59 3 14 14 NUM ecj-11558 59 4 ] ] PUNCT ecj-11558 59 5 figure figure NOUN ecj-11558 59 6 1 1 NUM ecj-11558 59 7 . . NOUN ecj-11558 59 8 basal basal PROPN ecj-11558 59 9 head head PROPN ecj-11558 59 10 ct ct PROPN ecj-11558 59 11 . . PUNCT ecj-11558 60 1 multiple multiple ADJ ecj-11558 60 2 subarachnoid subarachnoid ADJ ecj-11558 60 3 hemorrhages hemorrhage NOUN ecj-11558 60 4 at at ADP ecj-11558 60 5 the the DET ecj-11558 60 6 anterior anterior ADJ ecj-11558 60 7 part part NOUN ecj-11558 60 8 of of ADP ecj-11558 60 9 both both DET ecj-11558 60 10 frontal frontal ADJ ecj-11558 60 11 lobe lobe NOUN ecj-11558 60 12 and and CCONJ ecj-11558 60 13 subdural subdural ADJ ecj-11558 60 14 hemorrhage hemorrhage NOUN ecj-11558 60 15 along along ADP ecj-11558 60 16 the the DET ecj-11558 60 17 right right ADJ ecj-11558 60 18 tentorium tentorium NOUN ecj-11558 60 19 and and CCONJ ecj-11558 60 20 the the DET ecj-11558 60 21 posterior posterior ADJ ecj-11558 60 22 part part NOUN ecj-11558 60 23 ( ( PUNCT ecj-11558 60 24 a a NOUN ecj-11558 60 25 ) ) PUNCT ecj-11558 60 26 . . PUNCT ecj-11558 61 1 a a DET ecj-11558 61 2 slight slight ADJ ecj-11558 61 3 shift shift NOUN ecj-11558 61 4 of of ADP ecj-11558 61 5 the the DET ecj-11558 61 6 cerebral cerebral ADJ ecj-11558 61 7 midline midline NOUN ecj-11558 61 8 to to ADP ecj-11558 61 9 the the DET ecj-11558 61 10 left left NOUN ecj-11558 61 11 ( ( PUNCT ecj-11558 61 12 b b NOUN ecj-11558 61 13 ) ) PUNCT ecj-11558 61 14 . . PUNCT ecj-11558 62 1 table table NOUN ecj-11558 62 2 1 1 NUM ecj-11558 62 3 . . PUNCT ecj-11558 63 1 the the DET ecj-11558 63 2 clinical clinical ADJ ecj-11558 63 3 characteristics characteristic NOUN ecj-11558 63 4 of of ADP ecj-11558 63 5 the the DET ecj-11558 63 6 patient patient NOUN ecj-11558 63 7 upon upon SCONJ ecj-11558 63 8 arrival arrival NOUN ecj-11558 63 9 in in ADP ecj-11558 63 10 the the DET ecj-11558 63 11 emergency emergency NOUN ecj-11558 63 12 room room NOUN ecj-11558 63 13 . . PUNCT ecj-11558 64 1 basic basic ADJ ecj-11558 64 2 clinical clinical ADJ ecj-11558 64 3 characteristics characteristic NOUN ecj-11558 64 4 blood blood NOUN ecj-11558 64 5 pressure pressure NOUN ecj-11558 64 6 150/88 150/88 NUM ecj-11558 64 7 mmhg mmhg NOUN ecj-11558 64 8 heart heart NOUN ecj-11558 64 9 rate rate NOUN ecj-11558 64 10 115 115 NUM ecj-11558 64 11 bpm bpm NOUN ecj-11558 64 12 arterial arterial NOUN ecj-11558 64 13 oxygen oxygen NOUN ecj-11558 64 14 saturation saturation NOUN ecj-11558 64 15 96 96 NUM ecj-11558 64 16 % % NOUN ecj-11558 64 17 on on ADP ecj-11558 64 18 a a DET ecj-11558 64 19 reservoir reservoir NOUN ecj-11558 64 20 mask mask NOUN ecj-11558 64 21 respiratory respiratory ADJ ecj-11558 64 22 rate rate NOUN ecj-11558 64 23 23 23 NUM ecj-11558 64 24 bpm bpm NOUN ecj-11558 64 25 electrocardiogram electrocardiogram NOUN ecj-11558 64 26 sinus sinus NOUN ecj-11558 64 27 tachycardia tachycardia NOUN ecj-11558 64 28 , , PUNCT ecj-11558 64 29 qrs qrs PROPN ecj-11558 64 30 axis axis VERB ecj-11558 64 31 right right ADJ ecj-11558 64 32 deviation deviation NOUN ecj-11558 64 33 , , PUNCT ecj-11558 64 34 mild mild ADJ ecj-11558 64 35 anterior anterior ADJ ecj-11558 64 36 - - ADJ ecj-11558 64 37 lateral lateral ADJ ecj-11558 64 38 st st ADJ ecj-11558 64 39 - - PUNCT ecj-11558 64 40 segment segment NOUN ecj-11558 64 41 depression depression NOUN ecj-11558 64 42 , , PUNCT ecj-11558 64 43 incomplete incomplete ADJ ecj-11558 64 44 right right ADJ ecj-11558 64 45 bundle bundle NOUN ecj-11558 64 46 branch branch NOUN ecj-11558 64 47 block block VERB ecj-11558 64 48 arterial arterial ADJ ecj-11558 64 49 blood blood NOUN ecj-11558 64 50 gas gas NOUN ecj-11558 64 51 analysis analysis NOUN ecj-11558 64 52 ph ph VERB ecj-11558 64 53 7.37 7.37 NUM ecj-11558 64 54 mmhg mmhg NOUN ecj-11558 64 55 , , PUNCT ecj-11558 64 56 pco2 pco2 NOUN ecj-11558 64 57 24.8 24.8 NUM ecj-11558 64 58 mmhg mmhg NOUN ecj-11558 64 59 , , PUNCT ecj-11558 64 60 po2 po2 PROPN ecj-11558 64 61 44.2 44.2 NUM ecj-11558 64 62 mmhg mmhg NOUN ecj-11558 64 63 , , PUNCT ecj-11558 64 64 hco314 hco314 PROPN ecj-11558 64 65 mmol mmol NOUN ecj-11558 64 66 / / SYM ecj-11558 64 67 l l NOUN ecj-11558 64 68 , , PUNCT ecj-11558 64 69 so2 so2 PROPN ecj-11558 64 70 78 78 NUM ecj-11558 64 71 % % NOUN ecj-11558 64 72 , , PUNCT ecj-11558 64 73 po2(a po2(a NOUN ecj-11558 64 74 - - PUNCT ecj-11558 64 75 a a NOUN ecj-11558 64 76 ) ) PUNCT ecj-11558 64 77 75.9 75.9 NUM ecj-11558 64 78 mmhg mmhg NOUN ecj-11558 64 79 , , PUNCT ecj-11558 64 80 lactates lactate VERB ecj-11558 64 81 8.5 8.5 NUM ecj-11558 64 82 mmol mmol NOUN ecj-11558 64 83 / / SYM ecj-11558 64 84 l l NOUN ecj-11558 64 85 point point NOUN ecj-11558 64 86 - - PUNCT ecj-11558 64 87 of of ADP ecj-11558 64 88 - - PUNCT ecj-11558 64 89 care care NOUN ecj-11558 64 90 ultrasound ultrasound NOUN ecj-11558 64 91 minimal minimal ADJ ecj-11558 64 92 right right ADJ ecj-11558 64 93 pleural pleural ADJ ecj-11558 64 94 effusion effusion NOUN ecj-11558 64 95 , , PUNCT ecj-11558 64 96 preserved preserve VERB ecj-11558 64 97 left leave VERB ecj-11558 64 98 ventricle ventricle NOUN ecj-11558 64 99 ejection ejection NOUN ecj-11558 64 100 fraction fraction NOUN ecj-11558 64 101 , , PUNCT ecj-11558 64 102 hyperkinetic hyperkinetic ADJ ecj-11558 64 103 and and CCONJ ecj-11558 64 104 dilated dilate VERB ecj-11558 64 105 right right ADJ ecj-11558 64 106 ventricle ventricle NOUN ecj-11558 64 107 , , PUNCT ecj-11558 65 1 right right ADV ecj-11558 65 2 femoral femoral ADJ ecj-11558 65 3 vein vein ADJ ecj-11558 65 4 thrombosis thrombosis NOUN ecj-11558 65 5 non non ADJ ecj-11558 65 6 -co -co PROPN ecj-11558 65 7 mmerc mmerc PROPN ecj-11558 65 8 ial ial PROPN ecj-11558 66 1 us us PROPN ecj-11558 66 2 e e NOUN ecj-11558 66 3 o o NOUN ecj-11558 66 4 nly nly ADV ecj-11558 66 5 anticonvulsant anticonvulsant ADJ ecj-11558 66 6 prophylaxis prophylaxis NOUN ecj-11558 66 7 was be AUX ecj-11558 66 8 started start VERB ecj-11558 66 9 with with ADP ecj-11558 66 10 levetiracetam levetiracetam NOUN ecj-11558 66 11 . . PUNCT ecj-11558 67 1 after after ADP ecj-11558 67 2 24 24 NUM ecj-11558 67 3 hours hour NOUN ecj-11558 67 4 , , PUNCT ecj-11558 67 5 arteriography arteriography NOUN ecj-11558 67 6 showed show VERB ecj-11558 67 7 almost almost ADV ecj-11558 67 8 complete complete ADJ ecj-11558 67 9 dissolution dissolution NOUN ecj-11558 67 10 of of ADP ecj-11558 67 11 the the DET ecj-11558 67 12 pulmonary pulmonary ADJ ecj-11558 67 13 emboli embolus NOUN ecj-11558 67 14 . . PUNCT ecj-11558 68 1 therefore therefore ADV ecj-11558 68 2 , , PUNCT ecj-11558 68 3 the the DET ecj-11558 68 4 ekos ekos ADJ ecj-11558 68 5 catheter catheter NOUN ecj-11558 68 6 was be AUX ecj-11558 68 7 removed remove VERB ecj-11558 68 8 , , PUNCT ecj-11558 68 9 and and CCONJ ecj-11558 68 10 an an DET ecj-11558 68 11 inferior inferior ADJ ecj-11558 68 12 vena vena NOUN ecj-11558 68 13 cava cava NOUN ecj-11558 68 14 filter filter NOUN ecj-11558 68 15 was be AUX ecj-11558 68 16 placed place VERB ecj-11558 68 17 to to PART ecj-11558 68 18 prevent prevent VERB ecj-11558 68 19 venous venous ADJ ecj-11558 68 20 clots clot NOUN ecj-11558 68 21 from from ADP ecj-11558 68 22 reaching reach VERB ecj-11558 68 23 the the DET ecj-11558 68 24 pulmonary pulmonary ADJ ecj-11558 68 25 circulation circulation NOUN ecj-11558 68 26 . . PUNCT ecj-11558 69 1 the the DET ecj-11558 69 2 patient patient NOUN ecj-11558 69 3 was be AUX ecj-11558 69 4 then then ADV ecj-11558 69 5 admitted admit VERB ecj-11558 69 6 to to ADP ecj-11558 69 7 the the DET ecj-11558 69 8 icu icu PROPN ecj-11558 69 9 , , PUNCT ecj-11558 69 10 where where SCONJ ecj-11558 69 11 he he PRON ecj-11558 69 12 experienced experience VERB ecj-11558 69 13 initial initial ADJ ecj-11558 69 14 neurological neurological ADJ ecj-11558 69 15 worsening worsening NOUN ecj-11558 69 16 . . PUNCT ecj-11558 70 1 when when SCONJ ecj-11558 70 2 transiently transiently ADV ecj-11558 70 3 interrupting interrupt VERB ecj-11558 70 4 i.v i.v PRON ecj-11558 70 5 . . PUNCT ecj-11558 71 1 sedative sedative ADJ ecj-11558 71 2 treatment treatment NOUN ecj-11558 71 3 , , PUNCT ecj-11558 71 4 the the DET ecj-11558 71 5 neurological neurological ADJ ecj-11558 71 6 assessment assessment NOUN ecj-11558 71 7 showed show VERB ecj-11558 71 8 left left ADJ ecj-11558 71 9 hemiplegia hemiplegia NOUN ecj-11558 71 10 . . PUNCT ecj-11558 72 1 due due ADP ecj-11558 72 2 to to ADP ecj-11558 72 3 the the DET ecj-11558 72 4 high high ADJ ecj-11558 72 5 bleeding bleeding NOUN ecj-11558 72 6 risk risk NOUN ecj-11558 72 7 , , PUNCT ecj-11558 72 8 and and CCONJ ecj-11558 72 9 contraindicating contraindicate VERB ecj-11558 72 10 neurosurgery neurosurgery NOUN ecj-11558 72 11 , , PUNCT ecj-11558 72 12 intracranial intracranial ADJ ecj-11558 72 13 pressure pressure NOUN ecj-11558 72 14 ( ( PUNCT ecj-11558 72 15 icp icp NOUN ecj-11558 72 16 ) ) PUNCT ecj-11558 72 17 monitoring monitoring NOUN ecj-11558 72 18 was be AUX ecj-11558 72 19 maintained maintain VERB ecj-11558 72 20 for for ADP ecj-11558 72 21 12 12 NUM ecj-11558 72 22 days day NOUN ecj-11558 72 23 . . PUNCT ecj-11558 73 1 after after ADP ecj-11558 73 2 sedation sedation NOUN ecj-11558 73 3 and and CCONJ ecj-11558 73 4 levetiracetam levetiracetam NOUN ecj-11558 73 5 withdrawal withdrawal NOUN ecj-11558 73 6 , , PUNCT ecj-11558 73 7 progressive progressive ADJ ecj-11558 73 8 improvement improvement NOUN ecj-11558 73 9 of of ADP ecj-11558 73 10 the the DET ecj-11558 73 11 neurological neurological ADJ ecj-11558 73 12 deficit deficit NOUN ecj-11558 73 13 was be AUX ecj-11558 73 14 observed observe VERB ecj-11558 73 15 , , PUNCT ecj-11558 73 16 despite despite SCONJ ecj-11558 73 17 severe severe ADJ ecj-11558 73 18 asthenia asthenia PROPN ecj-11558 73 19 . . PUNCT ecj-11558 74 1 the the DET ecj-11558 74 2 total total ADJ ecj-11558 74 3 length length NOUN ecj-11558 74 4 of of ADP ecj-11558 74 5 stay stay NOUN ecj-11558 74 6 was be AUX ecj-11558 74 7 32 32 NUM ecj-11558 74 8 days day NOUN ecj-11558 74 9 , , PUNCT ecj-11558 74 10 during during ADP ecj-11558 74 11 which which PRON ecj-11558 74 12 the the DET ecj-11558 74 13 patient patient NOUN ecj-11558 74 14 underwent undergo VERB ecj-11558 74 15 mechanical mechanical ADJ ecj-11558 74 16 ventilation ventilation NOUN ecj-11558 74 17 through through ADP ecj-11558 74 18 percutaneous percutaneous ADJ ecj-11558 74 19 tracheostomy tracheostomy NOUN ecj-11558 74 20 . . PUNCT ecj-11558 75 1 the the DET ecj-11558 75 2 patient patient NOUN ecj-11558 75 3 was be AUX ecj-11558 75 4 discharged discharge VERB ecj-11558 75 5 home home ADV ecj-11558 75 6 with with ADP ecj-11558 75 7 enoxaparin enoxaparin NOUN ecj-11558 75 8 4000 4000 NUM ecj-11558 75 9 ui ui NOUN ecj-11558 75 10 twice twice DET ecj-11558 75 11 a a DET ecj-11558 75 12 day day NOUN ecj-11558 75 13 as as ADP ecj-11558 75 14 an an DET ecj-11558 75 15 anticoagulant anticoagulant NOUN ecj-11558 75 16 , , PUNCT ecj-11558 75 17 but but CCONJ ecj-11558 75 18 even even ADV ecj-11558 75 19 though though SCONJ ecj-11558 75 20 he he PRON ecj-11558 75 21 did do AUX ecj-11558 75 22 not not PART ecj-11558 75 23 experience experience VERB ecj-11558 75 24 either either CCONJ ecj-11558 75 25 pulmonary pulmonary ADJ ecj-11558 75 26 hypertension hypertension NOUN ecj-11558 75 27 or or CCONJ ecj-11558 75 28 severe severe ADJ ecj-11558 75 29 neurological neurological ADJ ecj-11558 75 30 sequelae sequelae NOUN ecj-11558 75 31 , , PUNCT ecj-11558 75 32 he he PRON ecj-11558 75 33 is be AUX ecj-11558 75 34 still still ADV ecj-11558 75 35 undergoing undergo VERB ecj-11558 75 36 neurological neurological ADJ ecj-11558 75 37 rehabilitation rehabilitation NOUN ecj-11558 75 38 . . PUNCT ecj-11558 76 1 discussion discussion NOUN ecj-11558 76 2 pe pe PROPN ecj-11558 76 3 is be AUX ecj-11558 76 4 a a DET ecj-11558 76 5 leading lead VERB ecj-11558 76 6 cause cause NOUN ecj-11558 76 7 of of ADP ecj-11558 76 8 cardiovascular cardiovascular ADJ ecj-11558 76 9 morbidity morbidity NOUN ecj-11558 76 10 worldwide worldwide ADV ecj-11558 76 11 , , PUNCT ecj-11558 76 12 and and CCONJ ecj-11558 76 13 rapid rapid ADJ ecj-11558 76 14 diagnosis diagnosis NOUN ecj-11558 76 15 and and CCONJ ecj-11558 76 16 treatment treatment NOUN ecj-11558 76 17 are be AUX ecj-11558 76 18 pivotal pivotal ADJ ecj-11558 76 19 to to ADP ecj-11558 76 20 decreasing decrease VERB ecj-11558 76 21 mortality mortality NOUN ecj-11558 76 22 . . PUNCT ecj-11558 77 1 massive massive ADJ ecj-11558 77 2 pe pe PROPN ecj-11558 77 3 is be AUX ecj-11558 77 4 generally generally ADV ecj-11558 77 5 correlated correlate VERB ecj-11558 77 6 with with ADP ecj-11558 77 7 syncope syncope NOUN ecj-11558 77 8 , , PUNCT ecj-11558 77 9 obstructive obstructive ADJ ecj-11558 77 10 shock shock NOUN ecj-11558 77 11 , , PUNCT ecj-11558 77 12 and and CCONJ ecj-11558 77 13 cardiac cardiac ADJ ecj-11558 77 14 arrest.7 arrest.7 NOUN ecj-11558 77 15 our our PRON ecj-11558 77 16 patient patient NOUN ecj-11558 77 17 presented present VERB ecj-11558 77 18 with with ADP ecj-11558 77 19 confusion confusion NOUN ecj-11558 77 20 and and CCONJ ecj-11558 77 21 otorrhagia otorrhagia NOUN ecj-11558 77 22 , , PUNCT ecj-11558 77 23 signs sign NOUN ecj-11558 77 24 of of ADP ecj-11558 77 25 traumatic traumatic ADJ ecj-11558 77 26 brain brain NOUN ecj-11558 77 27 injury injury NOUN ecj-11558 77 28 because because SCONJ ecj-11558 77 29 of of ADP ecj-11558 77 30 syncope syncope NOUN ecj-11558 77 31 , , PUNCT ecj-11558 77 32 concomitant concomitant ADJ ecj-11558 77 33 with with ADP ecj-11558 77 34 a a DET ecj-11558 77 35 high high ADJ ecj-11558 77 36 suspicion suspicion NOUN ecj-11558 77 37 of of ADP ecj-11558 77 38 high high ADJ ecj-11558 77 39 - - PUNCT ecj-11558 77 40 risk risk NOUN ecj-11558 77 41 pe pe NOUN ecj-11558 77 42 . . PUNCT ecj-11558 78 1 indeed indeed ADV ecj-11558 78 2 , , PUNCT ecj-11558 78 3 abg abg PROPN ecj-11558 78 4 revealed reveal VERB ecj-11558 78 5 severe severe ADJ ecj-11558 78 6 hypocapnic hypocapnic ADJ ecj-11558 78 7 hypoxemic hypoxemic ADJ ecj-11558 78 8 respiratory respiratory ADJ ecj-11558 78 9 failure failure NOUN ecj-11558 78 10 and and CCONJ ecj-11558 78 11 increased increase VERB ecj-11558 78 12 alveolar alveolar ADJ ecj-11558 78 13 - - PUNCT ecj-11558 78 14 arterial arterial NOUN ecj-11558 78 15 gradient gradient NOUN ecj-11558 78 16 , , PUNCT ecj-11558 78 17 both both DET ecj-11558 78 18 sensitive sensitive ADJ ecj-11558 78 19 indicators indicator NOUN ecj-11558 78 20 of of ADP ecj-11558 78 21 pulmonary pulmonary ADJ ecj-11558 78 22 pathology.9,10 pathology.9,10 NOUN ecj-11558 78 23 generally generally ADV ecj-11558 78 24 , , PUNCT ecj-11558 78 25 ecg ecg PROPN ecj-11558 78 26 has have VERB ecj-11558 78 27 a a DET ecj-11558 78 28 limited limited ADJ ecj-11558 78 29 role role NOUN ecj-11558 78 30 in in ADP ecj-11558 78 31 diagnosing diagnose VERB ecj-11558 78 32 pe pe INTJ ecj-11558 79 1 but but CCONJ ecj-11558 79 2 may may AUX ecj-11558 79 3 predict predict VERB ecj-11558 79 4 a a DET ecj-11558 79 5 poor poor ADJ ecj-11558 79 6 outcome outcome NOUN ecj-11558 79 7 when when SCONJ ecj-11558 79 8 it it PRON ecj-11558 79 9 shows show VERB ecj-11558 79 10 signs sign NOUN ecj-11558 79 11 of of ADP ecj-11558 79 12 rv rv NOUN ecj-11558 79 13 dysfunction dysfunction NOUN ecj-11558 79 14 ( ( PUNCT ecj-11558 79 15 s1q3t3 s1q3t3 NOUN ecj-11558 79 16 pattern pattern NOUN ecj-11558 79 17 , , PUNCT ecj-11558 79 18 new new ADJ ecj-11558 79 19 rbbb rbbb NOUN ecj-11558 79 20 , , PUNCT ecj-11558 79 21 and and CCONJ ecj-11558 79 22 t t NOUN ecj-11558 79 23 - - PUNCT ecj-11558 79 24 wave wave NOUN ecj-11558 79 25 inversion inversion NOUN ecj-11558 79 26 in in ADP ecj-11558 79 27 anterior anterior ADJ ecj-11558 79 28 precordial precordial ADJ ecj-11558 79 29 leads).11 leads).11 VERB ecj-11558 79 30 our our PRON ecj-11558 79 31 ecg ecg PROPN ecj-11558 79 32 showed show VERB ecj-11558 79 33 sinus sinus NOUN ecj-11558 79 34 tachycardia tachycardia NOUN ecj-11558 79 35 , , PUNCT ecj-11558 79 36 rad rad NOUN ecj-11558 79 37 , , PUNCT ecj-11558 79 38 and and CCONJ ecj-11558 79 39 incomplete incomplete ADJ ecj-11558 79 40 rbbb rbbb NOUN ecj-11558 79 41 . . PUNCT ecj-11558 80 1 pocus pocus PROPN ecj-11558 80 2 helped help VERB ecj-11558 80 3 us we PRON ecj-11558 80 4 to to PART ecj-11558 80 5 identify identify VERB ecj-11558 80 6 acute acute ADJ ecj-11558 80 7 dilation dilation NOUN ecj-11558 80 8 of of ADP ecj-11558 80 9 the the DET ecj-11558 80 10 rv rv PROPN ecj-11558 80 11 and and CCONJ ecj-11558 80 12 femoral femoral ADJ ecj-11558 80 13 vein vein ADJ ecj-11558 80 14 thrombosis thrombosis NOUN ecj-11558 80 15 . . PUNCT ecj-11558 81 1 ctpa ctpa PROPN ecj-11558 81 2 confirmed confirm VERB ecj-11558 81 3 the the DET ecj-11558 81 4 diagnosis diagnosis NOUN ecj-11558 81 5 . . PUNCT ecj-11558 82 1 the the DET ecj-11558 82 2 therapeutic therapeutic ADJ ecj-11558 82 3 management management NOUN ecj-11558 82 4 for for ADP ecj-11558 82 5 acute acute PROPN ecj-11558 82 6 pe pe PROPN ecj-11558 82 7 is be AUX ecj-11558 82 8 strictly strictly ADV ecj-11558 82 9 linked link VERB ecj-11558 82 10 to to ADP ecj-11558 82 11 a a DET ecj-11558 82 12 risk risk NOUN ecj-11558 82 13 classification classification NOUN ecj-11558 82 14 strategy strategy NOUN ecj-11558 82 15 , , PUNCT ecj-11558 82 16 consisting consist VERB ecj-11558 82 17 of of ADP ecj-11558 82 18 the the DET ecj-11558 82 19 presence presence NOUN ecj-11558 82 20 of of ADP ecj-11558 82 21 hemodynamic hemodynamic ADJ ecj-11558 82 22 instability instability NOUN ecj-11558 82 23 , , PUNCT ecj-11558 82 24 signs sign NOUN ecj-11558 82 25 of of ADP ecj-11558 82 26 rv rv NOUN ecj-11558 82 27 dysfunction dysfunction NOUN ecj-11558 82 28 , , PUNCT ecj-11558 82 29 positivity positivity NOUN ecj-11558 82 30 of of ADP ecj-11558 82 31 cardiac cardiac ADJ ecj-11558 82 32 biomarkers biomarker NOUN ecj-11558 82 33 ( ( PUNCT ecj-11558 82 34 ctni ctni NOUN ecj-11558 82 35 or or CCONJ ecj-11558 82 36 t t PROPN ecj-11558 82 37 ; ; PUNCT ecj-11558 82 38 bnp bnp PROPN ecj-11558 82 39 or or CCONJ ecj-11558 82 40 nt nt NOUN ecj-11558 82 41 - - PUNCT ecj-11558 82 42 probnp probnp NOUN ecj-11558 82 43 ) ) PUNCT ecj-11558 82 44 , , PUNCT ecj-11558 82 45 and and CCONJ ecj-11558 82 46 calculation calculation NOUN ecj-11558 82 47 of of ADP ecj-11558 82 48 the the DET ecj-11558 82 49 pesi pesi NOUN ecj-11558 82 50 / / SYM ecj-11558 82 51 spesi spesi NOUN ecj-11558 82 52 score score NOUN ecj-11558 82 53 . . PUNCT ecj-11558 82 54     SPACE ecj-11558 83 1 inter inter PROPN ecj-11558 83 2 alia alia PROPN ecj-11558 83 3 , , PUNCT ecj-11558 83 4 our our PRON ecj-11558 83 5 patient patient NOUN ecj-11558 83 6 showed show VERB ecj-11558 83 7 signs sign NOUN ecj-11558 83 8 of of ADP ecj-11558 83 9 progressive progressive ADJ ecj-11558 83 10 hemodynamic hemodynamic ADJ ecj-11558 83 11 deterioration deterioration NOUN ecj-11558 83 12 ( ( PUNCT ecj-11558 83 13 a a DET ecj-11558 83 14 drop drop NOUN ecj-11558 83 15 of of ADP ecj-11558 83 16 systolic systolic ADJ ecj-11558 83 17 bp bp PROPN ecj-11558 83 18 ³40mmhg ³40mmhg PROPN ecj-11558 83 19 lasting last VERB ecj-11558 83 20 longer long ADV ecj-11558 83 21 than than ADP ecj-11558 83 22 15 15 NUM ecj-11558 83 23 minutes minute NOUN ecj-11558 83 24 ) ) PUNCT ecj-11558 83 25 , , PUNCT ecj-11558 83 26 dilation dilation NOUN ecj-11558 83 27 of of ADP ecj-11558 83 28 the the DET ecj-11558 83 29 rv rv PROPN ecj-11558 83 30 , , PUNCT ecj-11558 83 31 hstni hstni NOUN ecj-11558 83 32 level level NOUN ecj-11558 83 33 of of ADP ecj-11558 83 34 109 109 NUM ecj-11558 83 35 ng ng PROPN ecj-11558 83 36 / / SYM ecj-11558 83 37 l l PROPN ecj-11558 83 38 , , PUNCT ecj-11558 83 39 and and CCONJ ecj-11558 83 40 pesi pesi NOUN ecj-11558 83 41 score score NOUN ecj-11558 83 42 of of ADP ecj-11558 83 43 152 152 NUM ecj-11558 83 44 which which PRON ecj-11558 83 45 classified classify VERB ecj-11558 83 46 him he PRON ecj-11558 83 47 in in ADP ecj-11558 83 48 class class NOUN ecj-11558 83 49 v v NOUN ecj-11558 83 50 , , PUNCT ecj-11558 83 51 i.e. i.e. X ecj-11558 83 52 a a DET ecj-11558 83 53 very very ADV ecj-11558 83 54 high high ADJ ecj-11558 83 55 - - PUNCT ecj-11558 83 56 risk risk NOUN ecj-11558 83 57 patient patient NOUN ecj-11558 83 58 . . PUNCT ecj-11558 84 1 systemic systemic ADJ ecj-11558 84 2 thrombolysis thrombolysis NOUN ecj-11558 84 3 would would AUX ecj-11558 84 4 be be AUX ecj-11558 84 5 the the DET ecj-11558 84 6 recommended recommend VERB ecj-11558 84 7 therapy therapy NOUN ecj-11558 84 8 of of ADP ecj-11558 84 9 choice choice NOUN ecj-11558 84 10     SPACE ecj-11558 84 11 for for ADP ecj-11558 84 12 this this DET ecj-11558 84 13 category category NOUN ecj-11558 84 14 of of ADP ecj-11558 84 15 patients patient NOUN ecj-11558 84 16 , , PUNCT ecj-11558 84 17 and and CCONJ ecj-11558 84 18 its its PRON ecj-11558 84 19 benefits benefit NOUN ecj-11558 84 20 in in ADP ecj-11558 84 21 reducing reduce VERB ecj-11558 84 22 mortality mortality NOUN ecj-11558 84 23 and and CCONJ ecj-11558 84 24 hemodynamic hemodynamic ADJ ecj-11558 84 25 deterioration deterioration NOUN ecj-11558 84 26 are be AUX ecj-11558 84 27 well well ADV ecj-11558 84 28 established.12 established.12 VERB ecj-11558 84 29 however however ADV ecj-11558 84 30 , , PUNCT ecj-11558 84 31 our our PRON ecj-11558 84 32 patient patient NOUN ecj-11558 84 33 had have VERB ecj-11558 84 34 major major ADJ ecj-11558 84 35 contraindications contraindication NOUN ecj-11558 84 36 to to PART ecj-11558 84 37 thrombolysis thrombolysis VERB ecj-11558 84 38 , , PUNCT ecj-11558 84 39 due due ADP ecj-11558 84 40 to to ADP ecj-11558 84 41 the the DET ecj-11558 84 42 concomitant concomitant ADJ ecj-11558 84 43 brain brain NOUN ecj-11558 84 44 injury injury NOUN ecj-11558 84 45 and and CCONJ ecj-11558 84 46 simultaneous simultaneous ADJ ecj-11558 84 47 multiple multiple ADJ ecj-11558 84 48 intracranial intracranial ADJ ecj-11558 84 49 hemorrhages hemorrhage VERB ecj-11558 84 50 the the DET ecj-11558 84 51 presence presence NOUN ecj-11558 84 52 of of ADP ecj-11558 84 53 intrinsic intrinsic ADJ ecj-11558 84 54 bleeding bleeding NOUN ecj-11558 84 55 risk risk NOUN ecj-11558 84 56 is be AUX ecj-11558 84 57 not not PART ecj-11558 84 58 so so ADV ecj-11558 84 59 rare,13 rare,13 NOUN ecj-11558 84 60 explaining explain VERB ecj-11558 84 61 why why SCONJ ecj-11558 84 62 this this DET ecj-11558 84 63 treatment treatment NOUN ecj-11558 84 64 is be AUX ecj-11558 84 65 underused underuse VERB ecj-11558 84 66 in in ADP ecj-11558 84 67 the the DET ecj-11558 84 68 real real ADJ ecj-11558 84 69 world.14 world.14 NOUN ecj-11558 84 70 the the DET ecj-11558 84 71 most most ADV ecj-11558 84 72 frequent frequent ADJ ecj-11558 84 73 contraindications contraindication NOUN ecj-11558 84 74 to to PART ecj-11558 84 75 fibrinolysis fibrinolysis VERB ecj-11558 84 76 are be AUX ecj-11558 84 77 recent recent ADJ ecj-11558 84 78 major major ADJ ecj-11558 84 79 surgery surgery NOUN ecj-11558 84 80 or or CCONJ ecj-11558 84 81 trauma trauma NOUN ecj-11558 84 82 , , PUNCT ecj-11558 84 83     SPACE ecj-11558 84 84 cardiopulmonary cardiopulmonary ADJ ecj-11558 84 85 resuscitation resuscitation NOUN ecj-11558 84 86 , , PUNCT ecj-11558 84 87 thrombocytopenia thrombocytopenia PROPN ecj-11558 84 88 , , PUNCT ecj-11558 84 89 and and CCONJ ecj-11558 84 90 active active ADJ ecj-11558 84 91 bleeding bleeding NOUN ecj-11558 84 92 requiring require VERB ecj-11558 84 93 blood blood NOUN ecj-11558 84 94 transfusion.15 transfusion.15 NOUN ecj-11558 84 95 as as SCONJ ecj-11558 84 96 encouraged encourage VERB ecj-11558 84 97 by by ADP ecj-11558 84 98 the the DET ecj-11558 84 99 2019 2019 NUM ecj-11558 84 100 esc esc NOUN ecj-11558 84 101 guidelines,12 guidelines,12 VERB ecj-11558 84 102 a a DET ecj-11558 84 103 multidisciplinary multidisciplinary ADJ ecj-11558 84 104 discussion discussion NOUN ecj-11558 84 105     SPACE ecj-11558 84 106 was be AUX ecj-11558 84 107 conducted conduct VERB ecj-11558 84 108 along along ADP ecj-11558 84 109 with with ADP ecj-11558 84 110 the the DET ecj-11558 84 111 interventional interventional ADJ ecj-11558 84 112 radiologist radiologist NOUN ecj-11558 84 113 , , PUNCT ecj-11558 84 114 neurosurgeon neurosurgeon NOUN ecj-11558 84 115 , , PUNCT ecj-11558 84 116 and and CCONJ ecj-11558 84 117 critical critical ADJ ecj-11558 84 118 care care NOUN ecj-11558 84 119 doctor doctor NOUN ecj-11558 84 120 . . PUNCT ecj-11558 85 1 alternative alternative ADJ ecj-11558 85 2 therapeutic therapeutic ADJ ecj-11558 85 3 strategies strategy NOUN ecj-11558 85 4 were be AUX ecj-11558 85 5 discussed discuss VERB ecj-11558 85 6 for for ADP ecj-11558 85 7 this this DET ecj-11558 85 8 challenging challenging ADJ ecj-11558 85 9 case case NOUN ecj-11558 85 10 , , PUNCT ecj-11558 85 11 including include VERB ecj-11558 85 12 surgical surgical ADJ ecj-11558 85 13 pulmonary pulmonary ADJ ecj-11558 85 14 embolectomy embolectomy NOUN ecj-11558 85 15 ( ( PUNCT ecj-11558 85 16 spe spe PROPN ecj-11558 85 17 ) ) PUNCT ecj-11558 85 18 and and CCONJ ecj-11558 85 19 catheterdirected catheterdirecte VERB ecj-11558 85 20 fibrinolysis fibrinolysis NOUN ecj-11558 85 21 . . PUNCT ecj-11558 86 1 while while SCONJ ecj-11558 86 2 cdt cdt PROPN ecj-11558 86 3 is be AUX ecj-11558 86 4 emerging emerge VERB ecj-11558 86 5 as as ADP ecj-11558 86 6 a a DET ecj-11558 86 7 reliable reliable ADJ ecj-11558 86 8 therapeutic therapeutic ADJ ecj-11558 86 9 option option NOUN ecj-11558 86 10 as as SCONJ ecj-11558 86 11 recommended recommend VERB ecj-11558 86 12 by by ADP ecj-11558 86 13 the the DET ecj-11558 86 14 european european ADJ ecj-11558 86 15 guidelines,12 guidelines,12 NOUN ecj-11558 86 16 spe spe X ecj-11558 86 17 is be AUX ecj-11558 86 18 not not PART ecj-11558 86 19 a a DET ecj-11558 86 20 universally universally ADV ecj-11558 86 21 available available ADJ ecj-11558 86 22 treatment treatment NOUN ecj-11558 86 23 and and CCONJ ecj-11558 86 24 it it PRON ecj-11558 86 25 is be AUX ecj-11558 86 26 associated associate VERB ecj-11558 86 27 with with ADP ecj-11558 86 28 an an DET ecj-11558 86 29 in in ADP ecj-11558 86 30 - - PUNCT ecj-11558 86 31 hospital hospital NOUN ecj-11558 86 32 mortality mortality NOUN ecj-11558 86 33 rate rate NOUN ecj-11558 86 34 greater great ADJ ecj-11558 86 35 than than ADP ecj-11558 86 36 27%.16 27%.16 NUM ecj-11558 86 37 in in ADP ecj-11558 86 38 some some DET ecj-11558 86 39 hospitals hospital NOUN ecj-11558 86 40 , , PUNCT ecj-11558 86 41 pe pe ADP ecj-11558 86 42 response response NOUN ecj-11558 86 43 teams team NOUN ecj-11558 86 44 ( ( PUNCT ecj-11558 86 45 perts pert NOUN ecj-11558 86 46 ) ) PUNCT ecj-11558 86 47 have have AUX ecj-11558 86 48 been be AUX ecj-11558 86 49 created create VERB ecj-11558 86 50 to to PART ecj-11558 86 51 face face VERB ecj-11558 86 52 such such ADJ ecj-11558 86 53 clinical clinical ADJ ecj-11558 86 54 challenges challenge NOUN ecj-11558 86 55 , , PUNCT ecj-11558 86 56 due due ADP ecj-11558 86 57 to to ADP ecj-11558 86 58 the the DET ecj-11558 86 59 limited limited ADJ ecj-11558 86 60 high high ADJ ecj-11558 86 61 - - PUNCT ecj-11558 86 62 quality quality NOUN ecj-11558 86 63 data datum NOUN ecj-11558 86 64 on on ADP ecj-11558 86 65 advanced advanced ADJ ecj-11558 86 66 therapies therapy NOUN ecj-11558 86 67 and and CCONJ ecj-11558 86 68 advancing advance VERB ecj-11558 86 69 technology technology NOUN ecj-11558 86 70 useful useful ADJ ecj-11558 86 71 in in ADP ecj-11558 86 72 this this DET ecj-11558 86 73 context.17 context.17 NOUN ecj-11558 86 74 hopefully hopefully ADV ecj-11558 86 75 , , PUNCT ecj-11558 86 76 the the DET ecj-11558 86 77 widespread widespread ADJ ecj-11558 86 78 adoption adoption NOUN ecj-11558 86 79 of of ADP ecj-11558 86 80 perts pert NOUN ecj-11558 86 81 will will AUX ecj-11558 86 82 reduce reduce VERB ecj-11558 86 83 the the DET ecj-11558 86 84 heterogeneity heterogeneity NOUN ecj-11558 86 85 now now ADV ecj-11558 86 86 present present VERB ecj-11558 86 87     SPACE ecj-11558 86 88 within within ADP ecj-11558 86 89 centers center NOUN ecj-11558 86 90 and and CCONJ ecj-11558 86 91 across across ADP ecj-11558 86 92 healthcare healthcare NOUN ecj-11558 86 93 systems system NOUN ecj-11558 86 94 and and CCONJ ecj-11558 86 95 will will AUX ecj-11558 86 96 improve improve VERB ecj-11558 86 97 access access NOUN ecj-11558 86 98 to to ADP ecj-11558 86 99 advanced advanced ADJ ecj-11558 86 100 therapies18 therapies18 NOUN ecj-11558 86 101 while while SCONJ ecj-11558 86 102 providing provide VERB ecj-11558 86 103 reliable reliable ADJ ecj-11558 86 104 data datum NOUN ecj-11558 86 105 on on ADP ecj-11558 86 106 their their PRON ecj-11558 86 107 real real ADJ ecj-11558 86 108 - - PUNCT ecj-11558 86 109 world world NOUN ecj-11558 86 110 impact impact NOUN ecj-11558 86 111 . . PUNCT ecj-11558 87 1 ekosonic ekosonic ADJ ecj-11558 87 2 endovascular endovascular ADJ ecj-11558 87 3 system system NOUN ecj-11558 87 4 , , PUNCT ecj-11558 87 5 the the DET ecj-11558 87 6 only only ADJ ecj-11558 87 7 u.s u.s PROPN ecj-11558 87 8 . . PROPN ecj-11558 87 9 fda fda PROPN ecj-11558 87 10 - - PUNCT ecj-11558 87 11 approved approve VERB ecj-11558 87 12 cdt cdt PROPN ecj-11558 87 13 , , PUNCT ecj-11558 87 14 is be AUX ecj-11558 87 15 characterized characterize VERB ecj-11558 87 16 by by ADP ecj-11558 87 17 a a DET ecj-11558 87 18 synergic synergic ADJ ecj-11558 87 19 action action NOUN ecj-11558 87 20 : : PUNCT ecj-11558 87 21 the the DET ecj-11558 87 22 fibrinolytic fibrinolytic ADJ ecj-11558 87 23 agent agent NOUN ecj-11558 87 24 provides provide VERB ecj-11558 87 25 fragmentation fragmentation NOUN ecj-11558 87 26 of of ADP ecj-11558 87 27 the the DET ecj-11558 87 28 thrombus thrombus NOUN ecj-11558 87 29 , , PUNCT ecj-11558 87 30 with with ADP ecj-11558 87 31 the the DET ecj-11558 87 32 concomitant concomitant ADJ ecj-11558 87 33 ultrasound ultrasound NOUN ecj-11558 87 34 pressure pressure NOUN ecj-11558 87 35 waves wave NOUN ecj-11558 87 36 allowing allow VERB ecj-11558 87 37 a a DET ecj-11558 87 38 better well ADJ ecj-11558 87 39 drug drug NOUN ecj-11558 87 40 penetration penetration NOUN ecj-11558 87 41 by by ADP ecj-11558 87 42 mechanically mechanically ADV ecj-11558 87 43 channeling channel VERB ecj-11558 87 44 the the DET ecj-11558 87 45 drug drug NOUN ecj-11558 87 46 into into ADP ecj-11558 87 47 the the DET ecj-11558 87 48 clot clot NOUN ecj-11558 87 49 and and CCONJ ecj-11558 87 50 contributing contribute VERB ecj-11558 87 51 to to ADP ecj-11558 87 52 its its PRON ecj-11558 87 53 permanence permanence NOUN ecj-11558 87 54 within within ADP ecj-11558 87 55 it it PRON ecj-11558 87 56 . . PUNCT ecj-11558 88 1 such such DET ecj-11558 88 2 a a DET ecj-11558 88 3 synergy synergy NOUN ecj-11558 88 4 allows allow VERB ecj-11558 88 5 for for ADP ecj-11558 88 6 to to ADP ecj-11558 88 7 reduction reduction NOUN ecj-11558 88 8 of of ADP ecj-11558 88 9 the the DET ecj-11558 88 10 dose dose NOUN ecj-11558 88 11 of of ADP ecj-11558 88 12 the the DET ecj-11558 88 13 thrombolytic thrombolytic ADJ ecj-11558 88 14 drug drug NOUN ecj-11558 88 15 and and CCONJ ecj-11558 88 16 its its PRON ecj-11558 88 17 possible possible ADJ ecj-11558 88 18 complications complication NOUN ecj-11558 88 19 , , PUNCT ecj-11558 88 20 including include VERB ecj-11558 88 21 bleeding bleeding NOUN ecj-11558 88 22 , , PUNCT ecj-11558 88 23 which which PRON ecj-11558 88 24 is be AUX ecj-11558 88 25 largely largely ADV ecj-11558 88 26 dose dose VERB ecj-11558 88 27 - - PUNCT ecj-11558 88 28 dependent dependent ADJ ecj-11558 88 29 . . PUNCT ecj-11558 89 1 it it PRON ecj-11558 89 2 has have AUX ecj-11558 89 3 been be AUX ecj-11558 89 4 reported report VERB ecj-11558 89 5 that that SCONJ ecj-11558 89 6 a a DET ecj-11558 89 7 thrombus thrombus NOUN ecj-11558 89 8 subjected subject VERB ecj-11558 89 9 to to ADP ecj-11558 89 10 the the DET ecj-11558 89 11 effect effect NOUN ecj-11558 89 12 of of ADP ecj-11558 89 13 thrombolytic thrombolytic ADJ ecj-11558 89 14 and and CCONJ ecj-11558 89 15 ultrasound ultrasound NOUN ecj-11558 89 16 absorbs absorb NOUN ecj-11558 89 17 89 89 NUM ecj-11558 89 18 % % NOUN ecj-11558 89 19 more more ADJ ecj-11558 89 20 drugs drug NOUN ecj-11558 89 21 in in ADP ecj-11558 89 22 4h 4h NUM ecj-11558 89 23 than than ADP ecj-11558 89 24 a a DET ecj-11558 89 25 thrombus thrombus NOUN ecj-11558 89 26 exposed expose VERB ecj-11558 89 27 to to ADP ecj-11558 89 28 systemic systemic ADJ ecj-11558 89 29 thrombolysis thrombolysis NOUN ecj-11558 89 30 alone.19 alone.19 ADP ecj-11558 89 31 this this DET ecj-11558 89 32 technique technique NOUN ecj-11558 89 33 represents represent VERB ecj-11558 89 34 a a DET ecj-11558 89 35 new new ADJ ecj-11558 89 36 approach approach NOUN ecj-11558 89 37 to to PART ecj-11558 89 38 improve improve VERB ecj-11558 89 39 outcomes outcome NOUN ecj-11558 89 40 and and CCONJ ecj-11558 89 41 to to PART ecj-11558 89 42 modify modify VERB ecj-11558 89 43 treatment treatment NOUN ecj-11558 89 44 algorithms algorithm NOUN ecj-11558 89 45 in in ADP ecj-11558 89 46 intermediate intermediate ADJ ecj-11558 89 47 - - PUNCT ecj-11558 89 48 to to ADP ecj-11558 89 49 - - PUNCT ecj-11558 89 50 highrisk highrisk NOUN ecj-11558 89 51 pe pe NOUN ecj-11558 89 52 patients patient NOUN ecj-11558 89 53 . . PUNCT ecj-11558 90 1 its its PRON ecj-11558 90 2 increasing increase VERB ecj-11558 90 3 popularity popularity NOUN ecj-11558 90 4 is be AUX ecj-11558 90 5 the the DET ecj-11558 90 6 effect effect NOUN ecj-11558 90 7 of of ADP ecj-11558 90 8 different different ADJ ecj-11558 90 9 promising promising ADJ ecj-11558 90 10 results result NOUN ecj-11558 90 11 , , PUNCT ecj-11558 90 12 which which PRON ecj-11558 90 13 suggest suggest VERB ecj-11558 90 14 rapid rapid ADJ ecj-11558 90 15 relief relief NOUN ecj-11558 90 16 of of ADP ecj-11558 90 17 rv rv PROPN ecj-11558 90 18 pressure pressure NOUN ecj-11558 90 19 over over ADP ecj-11558 90 20 case case NOUN ecj-11558 90 21 report report NOUN ecj-11558 90 22 figure figure NOUN ecj-11558 90 23 2.acute 2.acute NUM ecj-11558 90 24 pulmonary pulmonary ADJ ecj-11558 90 25 thromboembolism thromboembolism NOUN ecj-11558 90 26 filling fill VERB ecj-11558 90 27 defects defect NOUN ecj-11558 90 28 bilaterally bilaterally ADV ecj-11558 90 29 with with ADP ecj-11558 90 30 thrombus thrombus NOUN ecj-11558 90 31 to to ADP ecj-11558 90 32 the the DET ecj-11558 90 33 ramification ramification NOUN ecj-11558 90 34 of of ADP ecj-11558 90 35 the the DET ecj-11558 90 36 major major ADJ ecj-11558 90 37 pulmonary pulmonary ADJ ecj-11558 90 38 arteries artery NOUN ecj-11558 90 39 . . PUNCT ecj-11558 91 1 dilatation dilatation NOUN ecj-11558 91 2 of of ADP ecj-11558 91 3 common common ADJ ecj-11558 91 4 pulmonary pulmonary ADJ ecj-11558 91 5 artery artery NOUN ecj-11558 91 6 as as ADP ecj-11558 91 7 indirect indirect ADJ ecj-11558 91 8 sign sign NOUN ecj-11558 91 9 of of ADP ecj-11558 91 10 pulmonary pulmonary ADJ ecj-11558 91 11 hypertension hypertension NOUN ecj-11558 91 12 ( ( PUNCT ecj-11558 91 13 a a NOUN ecj-11558 91 14 ) ) PUNCT ecj-11558 91 15 . . PUNCT ecj-11558 92 1 greater great ADJ ecj-11558 92 2 extension extension NOUN ecj-11558 92 3 of of ADP ecj-11558 92 4 thrombus thrombus NOUN ecj-11558 92 5 to to ADP ecj-11558 92 6 the the DET ecj-11558 92 7 left left ADJ ecj-11558 92 8 side side NOUN ecj-11558 92 9 ( ( PUNCT ecj-11558 92 10 b b NOUN ecj-11558 92 11 ) ) PUNCT ecj-11558 92 12 . . PUNCT ecj-11558 93 1 thrombus thrombus PROPN ecj-11558 93 2 extended extend VERB ecj-11558 93 3 to to ADP ecj-11558 93 4 both both CCONJ ecj-11558 93 5 right right ADJ ecj-11558 93 6 and and CCONJ ecj-11558 93 7 left leave VERB ecj-11558 93 8 sides side NOUN ecj-11558 93 9 ( ( PUNCT ecj-11558 93 10 c c NOUN ecj-11558 93 11 ) ) PUNCT ecj-11558 93 12 . . PUNCT ecj-11558 94 1 [ [ X ecj-11558 94 2 page page NOUN ecj-11558 94 3 15 15 NUM ecj-11558 94 4 ] ] PUNCT ecj-11558 95 1 [ [ X ecj-11558 95 2 emergency emergency NOUN ecj-11558 95 3 care care NOUN ecj-11558 95 4 journal journal NOUN ecj-11558 95 5 2023 2023 NUM ecj-11558 95 6 ; ; PUNCT ecj-11558 95 7 19:11558 19:11558 NUM ecj-11558 95 8 ] ] X ecj-11558 95 9 non non ADJ ecj-11558 95 10 -co -co PROPN ecj-11558 95 11 mmerc mmerc PROPN ecj-11558 95 12 ial ial PROPN ecj-11558 95 13 us us PROPN ecj-11558 95 14 e e NOUN ecj-11558 95 15 o o NOUN ecj-11558 95 16 nly nly ADV