Manual thrombectomy, part of the armamentarium of interventional cardiologists, might
also be considered as an effective and safe alternative to manage intermediate/high
risk acute PE patients with contraindications to thrombolysis or with acute haemodynamic
decompensation. We here describe two cases with intermediate risk pulmonary embolism
and severe hypoxaemia where manual thrombectomy with a 10F dedicated catheter was
effective and improved clinical and haemodynamic parameters. Currently, there's no
clear and effective treatment for these patients, thus we believe that this therapy,
as current ESC guidelines suggest, should become a possible alternative to systemic
thrombolysis and anticoagulant regimen.
Keywords
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References
- 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism: European Society of Cardiology (ESC) Endorsed by the European Respiratory Society (ERS).European Heart Journal. 2014; 35: 3033-3073
- Fibrinolysis for intermediate-risk pulmonary embolism.N Engl J Med. 2014; 371: 581-582
- Catheter-directed therapy for the treatment of massive pulmonary embolism: systematic review and meta-analysis of modern techniques.J Vasc Interv Radiol. 2009; 20: 1431-1440
- Complications and validity of pulmonary angiography in acute pulmonary embolism.Circulation. 1992; 85: 462-468
- Severe refractory hypoxaemia in submassive pulmonary embolism: a surrogate marker of severe right ventricular dysfunction and indication for thrombolysis.Intern Med J. 2012; 42: 712-715
- Percutaneous Aspiration Thrombectomy in Treatment of Massive Pulmonary Embolism.Heart, Lung and Circulation. 2015; 24: 46-54
Article info
Publication history
Published online: April 29, 2015
Accepted:
March 27,
2015
Received in revised form:
March 26,
2015
Received:
February 3,
2015
Identification
Copyright
© 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
