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Percutaneous rheolytic thrombectomy with the AngioJet System for the treatment of intermediate-risk acute pulmonary embolism: a case report and an appraisal of contemporary indications and technique.
- Source :
-
Minerva cardioangiologica [Minerva Cardioangiol] 2014 Apr; Vol. 62 (2), pp. 221-8. - Publication Year :
- 2014
-
Abstract
- Percutaneous mechanical thrombectomy (PMT) for treatment of clinically significant pulmonary embolism (PE) has been shown to be technically feasible and effective, aiming at thrombus resolution without increase in major bleeding. Despite its success, use of PMT in clinical practise has not become widespread, because it is challenging. Among several devices proposed, AngioJet rheolytic thrombectomy (ART) appears as the most effective and easy-to-use. We present the case of a 69-year-old woman who developed acute intermediate-risk PE, with right ventricular dysfunction and major myocardial necrosis, who was successfully treated by ART. The peculiarities of the case, toghether with the principles, tecnique and tips and tricks of ART, its effectiveness and potential complications are discussed.
- Subjects :
- Acute Disease
Aged
Equipment Design
Female
Humans
Mechanical Thrombolysis instrumentation
Mechanical Thrombolysis methods
Myocardium pathology
Necrosis
Pulmonary Embolism physiopathology
Thrombectomy instrumentation
Ventricular Dysfunction, Right physiopathology
Pulmonary Embolism therapy
Thrombectomy methods
Ventricular Dysfunction, Right therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1827-1618
- Volume :
- 62
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Minerva cardioangiologica
- Publication Type :
- Academic Journal
- Accession number :
- 24686999