Abstract No. 99: Single session catheter-directed pharmacomechanical thrombolysis therapy for the treatment of massive pulmonary embolism in patients with right ventricular (RV) dysfunction

2011 ◽  
Vol 22 (3) ◽  
pp. S44-S45
Author(s):  
M. Kim ◽  
Z. Haskal ◽  
K. Princewill ◽  
B. Doan ◽  
B. Iliescu
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Massive Pulmonary Embolism ◽  
Single Session ◽  
Thrombolysis Therapy

Thrombolysis or Heparin Therapy in Massive Pulmonary Embolism With Right Ventricular Dilation

CHEST Journal ◽  
2001 ◽  
Vol 120 (1) ◽  
pp. 120-125 ◽  
Author(s):  
Emmanuel Hamel ◽  
Gérard Pacouret ◽  
Dominique Vincentelli ◽  
Jean François Forissier ◽  
Patrick Peycher ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Massive Pulmonary Embolism ◽  
Heparin Therapy ◽  
Ventricular Dilation ◽  
Right Ventricular Dilation

Two cases of right ventricular ischemic injury due to massive pulmonary embolism

2001 ◽  
Vol 116 (2-3) ◽  
pp. 189-195 ◽  
Author(s):  
Kimiharu Iwadate ◽  
Kozo Tanno ◽  
Mikio Doi ◽  
Takehiko Takatori ◽  
Yoko Ito
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Ischemic Injury ◽  
Massive Pulmonary Embolism

scholarly journals Impella RP Support and Catheter-Directed Thrombolysis to Treat Right Ventricular Failure Caused by Pulmonary Embolism in 2 Patients

2018 ◽  
Vol 45 (3) ◽  
pp. 182-185 ◽  
Author(s):  
Mohamed Shokr ◽  
Ahmed Rashed ◽  
Ashraf Mostafa ◽  
Tamam Mohamad ◽  
Theodore Schreiber ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Massive Pulmonary Embolism ◽  
Left Ventricular ◽  
Right Ventricular Failure ◽  
Circulatory Support ◽  
Ventricular Failure ◽  
Ventricular Assist ◽  
Device Implantation ◽  
Catheter Directed Thrombolysis

Right ventricular failure secondary to pulmonary embolism is associated with morbidity and death. The Impella RP System has often been used for percutaneous mechanical circulatory support in patients with right ventricular failure from other causes, including myocardial infarction, cardiac surgery, and left ventricular assist device implantation. We report 2 cases of massive pulmonary embolism in which combined Impella RP use and ultrasound-assisted catheter-directed thrombolysis effectively treated shock caused by right ventricular failure and contributed to successful outcomes. To our knowledge, only one other patient with this indication had been treated with the Impella RP device.

scholarly journals Massive pulmonary embolism in a COVID-19 patient: a case report

2020 ◽  
Vol 4 (FI1) ◽  
pp. 1-5
Author(s):  
Charlie J Sang ◽  
Brittain Heindl ◽  
Gregory Von Mering ◽  
Indranee Rajapreyar
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Cardiovascular System ◽  
Massive Pulmonary Embolism ◽  
Coronary Syndrome ◽  
Pulmonary Angiogram ◽  
Catheter Directed Thrombolysis ◽  
Right Ventricular Strain ◽  
Prolonged Hospital ◽  
The Impact

Abstract Background Myocardial injury is associated with excess mortality in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, and the mechanisms of injury are diverse. Coagulopathy associated with this infection may have unique cardiovascular implications. Case summary We present a case of 62-year-old male who presented after experiencing syncope and cardiac arrest. Given the clinical presentation and electrocardiographic findings, there was concern for acute coronary syndrome. However, coronary angiogram did not reveal significant coronary obstruction. Due to the unclear nature of his presentation, a bedside echocardiogram was rapidly performed and was indicative of right ventricular strain. Due to these findings, a pulmonary angiogram was performed that revealed massive pulmonary embolism. He successfully underwent catheter-directed thrombolysis and, after a prolonged hospital stay, was discharged home on lifelong anticoagulation. Discussion The impact of coronavirus disease-2019 (COVID-19) on the cardiovascular system has been prominent and multifaceted. COVID-19 can have wide-ranging effects on the cardiovascular system due to coagulopathy with resultant venous and arterial thrombo-embolism. Due to the critical condition of many patients affected by COVID-19, imaging for thrombo-embolic events is often delayed. With the use of bedside echocardiogram, observation of right ventricular strain may be critical in raising suspicion for pulmonary embolism, especially when atypical features are noted on electrocardiogram.

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