Faculty Collaboration Database

Management of peripheral pulmonary emboli with the use of transvenous catheter-directed thrombolysis and right ventricular assist device. J Card Surg 2013 Sep;28(5):611-5

Date

09/11/2013

Pubmed ID

24015994

DOI

10.1111/jocs.12185

Scopus ID

2-s2.0-84883873956 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

OBJECTIVES: Pulmonary emboli (PE) can result in significant hemodynamic instability that requires urgent intervention; however, the management of peripheral emboli has been controversial.

PATIENTS AND METHODS: We present two patients in whom a right ventricular assist device (RVAD) was used in treating peripheral pulmonary embolism, applying the technique of pulmonary artery catheter-directed thrombolysis after resuscitation with an RVAD.

RESULTS: The clot burden was not suitable for surgical embolectomy due to its peripheral locations. The patients' hemodynamic conditions improved with thrombolytic therapy and gradually were weaned off the RVAD. Follow-up scans showed near resolution of all PE.

CONCLUSION: Catheter-directed thrombolysis with an RVAD as an adjunct should be considered in management of peripheral PE.

Author List

Said SM, Salhab KF, Joyce LD

MESH terms used to index this publication - Major topics in bold

Aged
Catheterization, Swan-Ganz
Diagnostic Imaging
Female
Fibrinolytic Agents
Heart-Assist Devices
Hemodynamics
Humans
Hypertension, Pulmonary
Pulmonary Embolism
Resuscitation
Thrombolytic Therapy
Tissue Plasminogen Activator
Treatment Outcome
Young Adult