Successful removal of a Life-threatening PE using the INARI flow triever device

The authors report a case of a 75-year-old male with pulmonary embolism (PE) successfully treated using the INARI FlowTriever System, a mechanical thrombectomy device. Imaging confirmed deep vein thrombosis and PE presented after two days of left lower extremity (LLE) pain and dyspnea on exertion wi...

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Bibliographic Details
Published in:Radiology case reports 2021-07, Vol.16 (7), p.1878-1881
Main Authors: Capanegro, James, Quinn, Erina, Arndt, Mary, Sherard, Douglass
Format: Article
Language:English
Subjects:
Case Report
Embolectomy
Flowtriever
INARI
Interventional radiology
Pulmonary embolism
Thrombectomy
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Summary:The authors report a case of a 75-year-old male with pulmonary embolism (PE) successfully treated using the INARI FlowTriever System, a mechanical thrombectomy device. Imaging confirmed deep vein thrombosis and PE presented after two days of left lower extremity (LLE) pain and dyspnea on exertion with history of peripheral vascular disease, coronary artery disease, insulin dependent diabetes mellitus, hyperlipidemia and LLE percutaneous coronary intervention with coronary stent placement. PE treatment with single session clot burden reduction resulted in immediate improvement in oxygenation and echocardiogram confirmed relief of right heart strain. The patient's immediate hemodynamic improvement without thrombolytic therapy, which can take hours for morbidity reduction, supports the expansion of the use of thrombectomy devices for the treatment of submassive symptomatic PE in clinical practice, with further research indicated.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2021.04.045