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
09/11/2013Pubmed ID
24015994DOI
10.1111/jocs.12185Scopus ID
2-s2.0-84883873956 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
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 LDMESH terms used to index this publication - Major topics in bold
AgedCatheterization, 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