Percutaneous thrombectomy in patients with massive and very high‐risk submassive acute pulmonary embolism

Objective Examine FlowTriever thrombectomy feasibility in high‐risk PE patients. Background The FlowTriever thrombectomy system (Inari Medical, Irvine, CA) can reduce right ventricle (RV) strain in acute submassive pulmonary embolism (PE) patients. This technology has not been studied in higher risk...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2020-12, Vol.96 (7), p.1465-1470
Main Authors: Toma, Catalin, Khandhar, Sameer, Zalewski, Adrian M., D'Auria, Stephen J., Tu, Thomas M., Jaber, Wissam A.
Format: Article
Language:English
Subjects:
cardiac index
cardiogenic shock
Catheterization
Embolism
Patients
Pulmonary arteries
Pulmonary artery
Pulmonary embolisms
Respiratory failure
sPESI
Surgery
Thrombosis
Ventricle
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Summary:Objective Examine FlowTriever thrombectomy feasibility in high‐risk PE patients. Background The FlowTriever thrombectomy system (Inari Medical, Irvine, CA) can reduce right ventricle (RV) strain in acute submassive pulmonary embolism (PE) patients. This technology has not been studied in higher risk PE patients. Methods This multicenter retrospective analysis included patients treated with FlowTriever between 2017 and 2019 if they met at least one of the following: vasopressor dependence, PE induced respiratory failure, or decreased cardiac index (CI) measured by right heart catheterization. Results Analysis included 34 patients: 18 massive, four intubated, 12 normotensive but with CI 
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.29246