Continuous Aspiration Mechanical Thrombectomy for the Management of Submassive Pulmonary Embolism: A Single-Center Experience

被引：35

作者：

Al-Hakim, Ramsey ^{[1
]}

Bhatt, Alok ^{[1
]}

Benenati, James F. ^{[1
]}

机构：

[1] Baptist Hosp Miami, Miami Cardiac & Vasc Inst, 8900 North Kendall Dr, Miami, FL 33176 USA

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2017年 / 28卷 / 10期

关键词：

PROGNOSTIC ROLE;

D O I：

10.1016/j.jvir.2017.06.025

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The Indigo Mechanical Thrombectomy System (Penumbra, Inc, Alameda, California) was used to treat 6 patients with submassive pulmonary embolisin (PE) and, a contraindication to thrombolysis. Systolic pulinonary artery pressure (58.2 mm Hg vs 43.0 mm Hg, P <.05), right ventricular/left ventricular ratio (1.7 vs 1.1, P <.05), Miller index (15.0 vs 9.8, P < 0.01), and CT obstructive index (60.4% vs 47.0%, P <.01) Were significantly reduced after mechanical thrombectomy. There were no procedural or periprocedural complications. Continuous aspiration mechanical thrombectomy is a feasible and promising technique for management of submassive PE to decrease thrombus burden and reduce right heart strain.

引用

页码：1348 / 1352

页数：5

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