Percutaneous Mechanical Thrombectomy of Submassive Pulmonary Embolism and Extensive Deep Venous Thrombosis for Early Thrombus Removal

Vascular Specialist International

Myungsu Lee¹  Hwanjun Jae¹  Sangil Min²  Seung-Kee Min²  Eun-Ah Jo²  Ahram Han²  Kwang Woo Choi²  Sanghyun Ahn² 

[1] Department of Radiology, Seoul National University College of Medicine, Seoul, Korea;Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea;

关键词: pulmonary embolism;    deep vein thrombosis;    mechanical thrombolysis;    thrombolytic therapy;   

DOI  :  10.5758/vsi.210061

来源: DOAJ

【 摘 要 】

Traditional treatment with anticoagulation in nonfatal submassive pulmonary embolism can result in serious sequelae of chronic thromboembolic pulmonary hypertension or poor exercise tolerance, and functional impairment. To prevent long-term complications in previously healthy young patients, other treatment options to actively resolve existing thrombi should be considered. Despite recommendations for use in only severe clinical presentations, endovascular interventional techniques could serve as suitable treatment options for such patients. Here we report the case of a previously healthy 23-year-old female with submassive pulmonary embolism and extensive deep vein thrombosis in the inferior vena cava down to the right popliteal vein. The patient was initially treated with catheter-directed thrombolysis. However, she continued to show extensive venous thrombosis and pulmonary embolism. Percutaneous thrombectomy and aspiration using an AngioJet successfully removed the main pulmonary artery embolism and venous thrombus. The patient’s recovery was uneventful, and 3-month follow-up showed no signs of recurrence or discomfort.

【 授权许可】

Unknown