Continuous Aspiration Mechanical Thrombectomy for the Management of Submassive Pulmonary Embolism

A Single-Center Experience

Ramsey Al-Hakim, Alok Bhatt, James F. Benenati

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The Indigo Mechanical Thrombectomy System (Penumbra, Inc, Alameda, California) was used to treat 6 patients with submassive pulmonary embolism (PE) and a contraindication to thrombolysis. Systolic pulmonary 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.

Original languageEnglish (US)
Pages (from-to)1348-1352
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume28
Issue number10
DOIs
StatePublished - Oct 1 2017
Externally publishedYes

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Thrombectomy
Pulmonary Embolism
Indigo Carmine
Pulmonary Artery
Thrombosis
Pressure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Continuous Aspiration Mechanical Thrombectomy for the Management of Submassive Pulmonary Embolism : A Single-Center Experience. / Al-Hakim, Ramsey; Bhatt, Alok; Benenati, James F.

In: Journal of Vascular and Interventional Radiology, Vol. 28, No. 10, 01.10.2017, p. 1348-1352.

Research output: Contribution to journalArticle

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