Intrapulmonary rotational power-driven thrombectomy therapy for acute massive pulmonary thromboembolism

VernacularTitle:肺动脉内介入螺旋电吸式祛栓术治疗急性大面积肺栓塞
Author: Yuliang SHEN ; Lingling LIU ; Yufeng GUO ; Yanqiang WU ; Fang YUAN ; Aijun HOU
Publication Type:Journal Article
Keywords: Pulmonary embolism; Iinterventional therapy; Thrombectomy
From: Clinical Medicine of China 2013;29(9):978-980
CountryChina
Language:Chinese
Abstract: Objective To investigate the effect and safety of rotational power-driven thrombectomy therapy through intrapulmonary for acute massive pulmonary thromboembolism.Methods Sixteen patients of acute massive pulmonary thromboembolism diagnosed by CT and pulmonary angiography were treated with Straub Rotarex system.The successful rate,release of clinical manifestations and the blood hemodynamic changes were observed and analyzed.Results The clinical manifestations were improved remarkably in all the 16 patients,arterial partial pressure of oxygen,saturation of arterial blood oxygen,shock index,Miller score and mPAP were (56.7± 13.4) mm Hg,84.1 ± 10.4)％,(1.27 ±-0.39),(22.7±11.4) and (36.3 ±9.4) mm Hg respectively before treatment,and (92.2 ± 8.6) mm Hg,(96.6 ± 12.7) ％,(0.57 ± 0.42),(12.1 ± 7.8)points and (21.9 ± 7.3) mm Hg respectively after treatment,which were all improved significantly (t =-2.794,2.601,-2.592,-2.638,-2.617,P ＜ 0.01).Conclusion Rotational power-driven thrombectomy therapy through intrapulmonary is an effective and safe technique for the treatment of acute massive pulmonary embolism.