Percutaneous Mechanical Thrombectomy for Acute Pulmonary Embolism

CHEST Journal ◽  
2007 ◽  
Vol 132 (2) ◽  
pp. 363-365 ◽  
Author(s):  
Samuel Z. Goldhaber
Keyword(s):  
Pulmonary Embolism ◽  
Acute Pulmonary Embolism ◽  
Mechanical Thrombectomy ◽  
Percutaneous Mechanical Thrombectomy

scholarly journals Percutaneous mechanical thrombectomy combined with catheter-directed thrombolysis in the treatment of acute pulmonary embolism and lower extremity deep venous thrombosis: A novel one-stop endovascular strategy

2017 ◽  
Vol 46 (2) ◽  
pp. 836-851 ◽  
Author(s):  
Bing Liu ◽  
MingYuan Liu ◽  
LiHong Yan ◽  
JunWei Yan ◽  
Jiang Wu ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Success Rate ◽  
Acute Pulmonary Embolism ◽  
Mechanical Thrombectomy ◽  
Iliac Vein ◽  
Percutaneous Mechanical Thrombectomy ◽  
Catheter Directed Thrombolysis

Objective This study was performed to evaluate the efficacy and feasibility of percutaneous mechanical thrombectomy (PMT) combined with catheter-directed thrombolysis (CDT) in patients with acute pulmonary embolism (APE) and lower extremity deep venous thrombosis (LEDVT). Methods In total, 20 consecutive patients with APE and LEDVT were prospectively selected for PMT combined with CDT. Mechanical thrombus fragmentation and aspiration using a pigtail rotation catheter followed by CDT was performed in each patient. Details regarding the patients’ clinical presentation and outcome, pulmonary status parameters (pulmonary arterial pressure, partial pressure of oxygen in arterial blood, Miller score, thigh and calf circumference, and shock index), and lower extremity parameters (thrombus-lysis grade and Villalta scale score) were recorded. Results All 20 patients’ clinical manifestations significantly improved. Both the clinical success rate and technical success rate were 100%. No major adverse events occurred during hospitalization. Four patients developed iliac vein compression syndrome and underwent stent implantation in the iliac vein. No pulmonary embolism recurred within 16.5±6.8 months of follow-up. Conclusions The combination of PMT and CDT is a safe and effective treatment for APE and LEDVT with good short- and intermediate-term clinical outcomes.

scholarly journals MASSIVE PULMONARY EMBOLISM TREATED WITH PERCUTANEOUS MECHANICAL THROMBECTOMY

2021 ◽  
Vol 77 (18) ◽  
pp. 2803
Author(s):  
Radhika Deshpande ◽  
Basma Al-Bast ◽  
Mukul Bhattarai ◽  
Abhishek Kulkarni ◽  
Prashant Jagtap
Keyword(s):  
Pulmonary Embolism ◽  
Mechanical Thrombectomy ◽  
Massive Pulmonary Embolism ◽  
Percutaneous Mechanical Thrombectomy

scholarly journals A Prospective, Single-Arm, Multicenter Trial of Catheter-Directed Mechanical Thrombectomy for Intermediate-Risk Acute Pulmonary Embolism

2019 ◽  
Vol 12 (9) ◽  
pp. 859-869 ◽  
Author(s):  
Thomas Tu ◽  
Catalin Toma ◽  
Victor F. Tapson ◽  
Christopher Adams ◽  
Wissam A. Jaber ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Acute Pulmonary Embolism ◽  
Mechanical Thrombectomy ◽  
Multicenter Trial ◽  
Intermediate Risk

scholarly journals Endovascular management of massive pulmonary embolism with clot fragmentation and suction

2013 ◽  
Vol 12 (1) ◽  
pp. 49-52
Author(s):  
Sergio Quilici Belczak ◽  
Igor Rafael Sincos ◽  
Ricardo Aun ◽  
Alex Lederman ◽  
Boulanger Mioto Neto ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Mechanical Thrombectomy ◽  
Imaging Study ◽  
Right Ventricular Dysfunction ◽  
Massive Pulmonary Embolism ◽  
Sudden Onset ◽  
Percutaneous Mechanical Thrombectomy ◽  
Limb Edema ◽  
To Receive

Massive pulmonary embolism with right ventricular dysfunction may be treated with thrombolysis, embolectomy, or percutaneous mechanical thrombectomy. This study describes our experience with two patients that had massive pulmonary embolism and were treated with percutaneous mechanical thrombectomy and reports on the mid-term results of this procedure. A 28-year-old man and a 70-year-old woman were diagnosed with deep venous thrombosis and massive pulmonary embolism. They first had lower limb edema followed by sudden onset of dyspnea. Their physical examination revealed edema, tachypnea, chest discomfort and jugular turgescence. Both needed to receive oxygen using a nasal cannula. Doppler ultrasound, echocardiography, and computed tomography angiography were used to establish the diagnoses. Patients underwent percutaneous mechanical thrombectomy using the Aspirex® system (Straub Medical), and their clinical condition and imaging study findings improved substantially. At mid-term follow-up, patient conditions were improving satisfactorily.

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