Treatment of pulmonary thromboembolism using Arrow-Trerotola percutaneous thrombolytic device.
10.12701/yujm.2014.31.1.28
- Author:
Tae Kyun KIM
1
;
Ji Young PARK
;
Jun Ho BAE
;
Jae Woong CHOI
;
Sung Kee RYU
;
Min Jung KIM
;
Jun Bong KIM
;
Jang Won SOHN
Author Information
1. Department of Cardiology, Eulji General Hospital, Eulji University, Seoul, Korea. cisamoe@gmail.com
- Publication Type:Case Report
- Keywords:
Pulmonary embolism;
Mechanical thrombectomy;
Trerotola
- MeSH:
Anoxia;
Dyspnea;
Heart Ventricles;
Hemodynamics;
Humans;
Pulmonary Embolism*;
Thrombectomy;
Thrombolytic Therapy
- From:Yeungnam University Journal of Medicine
2014;31(1):28-32
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pulmonary thromboembolism (PTE) increases the pressure of the right ventricle and leads to symptoms and signs, such as dyspnea and hypoxia. If PTE causes hemodynamic instability, thrombolytic therapy should be considered. A mechanical thrombectomy is an alternative treatment to thrombolytic therapy and should be considered when thrombolytic therapy is contraindicated. Various devices are used in mechanical maceration and catheter-directed thrombolysis, but there is no standard mechanical device for PTE as yet. We report here on 2 clinical experiences of mechanical thrombectomy using the Arrow-Trerotola percutaneous thrombolytic device to remove residual clots after systemic thrombolysis in patients with massive PTE.
