Percutaneous Thrombectomy for the Treatment of Acute Massive Pulmonary Embolism: Two Case Reports
DOI:
https://doi.org/10.31584/jhsmr.2020777Keywords:
endovascular treatment, massive pulmonary embolism, thrombectomyAbstract
Pulmonary embolism (PE) is the third commonest cause of death in hospitalized patients after myocardial infarction and stroke. Surgical thrombectomy is a standard option in cases of a clinical massive PE with hemodynamic instability and in patients in whom systemic thrombolysis is contra-indicated. Percutaneous thrombectomy is a new minimally invasive alternative treatment for clinical massive PE, and it has a high efficacy, with fewer complications. We report two patients with acute massive PE that were treated successfully using the endovascular technique with suction thrombectomy.
References
Sekhri V, Mehta N, Rawat N, Lehrman SG, Aronow WS. Management of massive and nonmassive pulmonary embolism. Arch Med Sci 2012;8:957–69.
Kucher N, Rossi E, De Rosa M, Goldhaber SZ. Massive pulmonary embolism. Circulation 2006;113:577–82.
Chechi T, Vecchio S, Spaziani G, Giuliani G, Giannotti F, Arcangeli C, et al. Rheolytic thrombectomy in patients with massive and submassive acute pulmonary embolism. Catheter Cardiovasc Interv 2009;73:506–13.
Ciampi-Dopazo JJ. Aspiration thrombectomy for treatment of acute massive and submassive pulmonary embolism: initial single-center prospective experience. J Vasc Interv Radiol 2018;29:101-6.
Nosher JL, Patel A, Jagpal S, Gribbin C, Gendel V. Endovascular treatment of pulmonary embolism: selective review of available techniques. World J Radiol 2017;9:426–37.
Konstantinides SV, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galiè N, et al. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2014; 35:3033-69.
Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, Goldhaber SZ, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation 2011;123:1788–830.
Fukuda I, Daitoku K. Surgical embolectomy for acute pulmonary thromboembolism. Ann Vasc Dis 2017;10:107–14.
Yavuz S, Toktas F, Goncu T, Eris C, Gucu A, Ay D, et al. Surgical embolectomy for acute massive pulmonary embolism. Int J Clin Exp Med 2014;7:5362–75.
Myat A, Ahsan A. Percutaneous mechanical thrombectomy for the treatment of acute massive pulmonary embolism: case report. Thromb J 2007;5:20.
Tukaye DN, McDaniel M, Liberman H, Burkin Y, Jaber W. Percutaneous pulmonary embolus mechanical thrombectomy. J Am Coll Cardiol Int 2017;10:94–5.
De Gregorio MA, Guirola JA, Lahuerta C, Serrano C, Figueredo AL, Kuo WT. Interventional radiology treatment for pulmonary embolism. World J Radiol 2017;9:295–303.
Kucher N, Rossi E, De Rosa M, Goldhaber SZ. Massive pulmonary embolism. Circulation 2006;113:577–82.
Chechi T, Vecchio S, Spaziani G, Giuliani G, Giannotti F, Arcangeli C, et al. Rheolytic thrombectomy in patients with massive and submassive acute pulmonary embolism. Catheter Cardiovasc Interv 2009;73:506–13.
Ciampi-Dopazo JJ. Aspiration thrombectomy for treatment of acute massive and submassive pulmonary embolism: initial single-center prospective experience. J Vasc Interv Radiol 2018;29:101-6.
Nosher JL, Patel A, Jagpal S, Gribbin C, Gendel V. Endovascular treatment of pulmonary embolism: selective review of available techniques. World J Radiol 2017;9:426–37.
Konstantinides SV, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galiè N, et al. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2014; 35:3033-69.
Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, Goldhaber SZ, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation 2011;123:1788–830.
Fukuda I, Daitoku K. Surgical embolectomy for acute pulmonary thromboembolism. Ann Vasc Dis 2017;10:107–14.
Yavuz S, Toktas F, Goncu T, Eris C, Gucu A, Ay D, et al. Surgical embolectomy for acute massive pulmonary embolism. Int J Clin Exp Med 2014;7:5362–75.
Myat A, Ahsan A. Percutaneous mechanical thrombectomy for the treatment of acute massive pulmonary embolism: case report. Thromb J 2007;5:20.
Tukaye DN, McDaniel M, Liberman H, Burkin Y, Jaber W. Percutaneous pulmonary embolus mechanical thrombectomy. J Am Coll Cardiol Int 2017;10:94–5.
De Gregorio MA, Guirola JA, Lahuerta C, Serrano C, Figueredo AL, Kuo WT. Interventional radiology treatment for pulmonary embolism. World J Radiol 2017;9:295–303.
Downloads
Published
2021-06-01
How to Cite
1.
Dorji KS, Rookkapan S, Tanomkiat W, Hongsakul K. Percutaneous Thrombectomy for the Treatment of Acute Massive Pulmonary Embolism: Two Case Reports. J Health Sci Med Res [Internet]. 2021 Jun. 1 [cited 2024 Nov. 22];39(4):345-51. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/250163
Issue
Section
Case Report
