Successful management of acute massive pulmonary embolism using Angiovac suction catheter technique in a hemodynamically unstable patient

Abstract Massive pulmonary embolism with hemodynamic instability is a life-threatening condition requiring immediate treatment. Urgent thrombectomy or thrombolysis is commonly used for the treatment of this condition. However, surgery is associated with high mortality rate and many patients have con...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2014-06, Vol.15 (4), p.240-243
Main Authors: Pasha, Ahmed K, Elder, Mahir D, Khurram, Daniyeh, Snyder, Branden A, Movahed, Mohammad Reza
Format: Article
Language:English
Subjects:
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Cardiovascular
Catheter-based intervention
Catheterization - instrumentation
Embolectomy
Equipment Design
Female
Hemodynamics
Humans
Pulmonary embolism
Pulmonary Embolism - diagnosis
Pulmonary Embolism - physiopathology
Pulmonary Embolism - therapy
Suction
Thrombectomy
Thrombectomy - instrumentation
Thrombectomy - methods
Thrombolysis
Thrombolytic therapy
Thrombus suctioning
Tomography, X-Ray Computed
Treatment Outcome
Vascular Access Devices
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Summary:Abstract Massive pulmonary embolism with hemodynamic instability is a life-threatening condition requiring immediate treatment. Urgent thrombectomy or thrombolysis is commonly used for the treatment of this condition. However, surgery is associated with high mortality rate and many patients have contraindications to thrombolytic therapy and are at high risk for bleeding. Cather-based intervention has gained increasing popularity particularly in patients with contraindication to thrombolytic therapy or at high risk for surgical thrombectomy. Catheter-based thrombus removal can be achieved by many means such as suction, fragmentation, extraction or rheolytic thrombectomy. We present a case of an elderly lady who suffered from acute massive pulmonary embolism with hemodynamic compromise successfully treated with AngioVac catheter system (AngioDynamics, Albany, NY) with full recovery.
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2013.12.003