Mechanical clot fragmentation using a Swan–Ganz catheter is useful for acute massive pulmonary thromboembolism

Abstract Massive pulmonary thromboembolism (PE) is an acute-onset, life-threatening disease in the perioperative period. Massive PE led to severe hypoxemia and cor pulmonale in our patient who had undergone an operation for thalamic hemorrhage. Mechanical clot fragmentation using a Swan–Ganz cathete...

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Bibliographic Details
Published in:Journal of cardiology cases 2014-03, Vol.9 (3), p.94-97
Main Authors: Mori, Hitoshi, MD, Isoda, Kikuo, MD, PhD, FJCC, Kimura, Toyokazu, MD, Akita, Koji, MD, Adachi, Takeshi, MD, PhD, FJCC
Format: Article
Language:English
Subjects:
Cardiovascular
Mechanical clot fragmentation
Pulmonary thromboembolism
Swan–Ganz catheter
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Summary:Abstract Massive pulmonary thromboembolism (PE) is an acute-onset, life-threatening disease in the perioperative period. Massive PE led to severe hypoxemia and cor pulmonale in our patient who had undergone an operation for thalamic hemorrhage. Mechanical clot fragmentation using a Swan–Ganz catheter was attempted, because thrombolytic therapy was contraindicated for our patient. This procedure was successful, resulting in a decrease in pulmonary artery pressure with improvement in hypoxemia. Thus, this procedure may be useful for patients with massive PE with contraindications to thrombolytic therapy. < Learning objective: Here we present the usefulness of mechanical clot fragmentation using a Swan–Ganz catheter for a patient with massive pulmonary thromboembolism (PE) with contraindications to thrombolytic therapy. This case suggests that the procedure may be a promising method for reducing pulmonary artery pressure and improving hypoxemia in patients with massive PE.>
ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2013.10.010