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

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

doi:10.1016/j.jvir.2017.06.025

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 journal › Article › peer-review

29 Scopus citations

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 language	English (US)
Pages (from-to)	1348-1352
Number of pages	5
Journal	Journal of Vascular and Interventional Radiology
Volume	28
Issue number	10
DOIs	https://doi.org/10.1016/j.jvir.2017.06.025
State	Published - Oct 2017

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1016/j.jvir.2017.06.025

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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.",

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

Abstract

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