Successful management of acute massive pulmonary embolism using Angiovac suction catheter technique in a hemodynamically unstable patient

Ahmed K. Pasha, Mahir D. Elder, Daniyeh Khurram, Branden A. Snyder, Mohammad Reza Movahed

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Massive pulmonary embolism with hemodynamic instability is a life-threatening condition requiring immediate treatment. Urgent thrombectomy or thrombolysis is commonly used for the treatment of this condition. However, surgery is associated with high mortality rate and many patients have contraindications to thrombolytic therapy and are at high risk for bleeding. Cather-based intervention has gained increasing popularity particularly in patients with contraindication to thrombolytic therapy or at high risk for surgical thrombectomy. Catheter-based thrombus removal can be achieved by many means such as suction, fragmentation, extraction or rheolytic thrombectomy. We present a case of an elderly lady who suffered from acute massive pulmonary embolism with hemodynamic compromise successfully treated with AngioVac catheter system (AngioDynamics, Albany, NY) with full recovery.

Original languageEnglish (US)
Pages (from-to)240-243
Number of pages4
JournalCardiovascular Revascularization Medicine
Volume15
Issue number4
DOIs
StatePublished - Jun 2014

Keywords

  • Catheter-based intervention
  • Embolectomy
  • Pulmonary embolism
  • Thrombectomy
  • Thrombolysis
  • Thrombolytic therapy
  • Thrombus suctioning

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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