Application of Acostream thrombus suction device in the treatment of acute medium-high risk pulmonary embolism
10.3969/j.issn.1673-9701.2025.05.014
- VernacularTitle:Acostream血栓抽吸装置在急性中高危肺栓塞治疗中的应用
- Author:
Xiangjian ZHENG
1
;
Chunmeng LI
1
Author Information
1. 温州医科大学定理临床学院温州市中心医院血管外科温州市泛血管疾病管理中心实验室,浙江温州 325000
- Publication Type:Journal Article
- Keywords:
Acostream thrombus suction device;
Acute medium-high risk pulmonary embolism;
Percutaneous negative pressure thrombus aspiration
- From:
China Modern Doctor
2025;63(5):49-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and effectiveness of Acostream thrombus suction device in the treatment of acute medium-high risk pulmonary embolism(APE).Methods Ten patients with APE medium-high risk treated with Acostream thrombus suction device in Wenzhou Central Hospital from June 2022 to January 2024 were selected as subjects.Clinical observation indicators such as vital signs and auxiliary examination before surgery and 72h after surgery were collected to record the relief of symptoms and complications.The safety and efficacy of the Acostream thrombus suction device for thrombus removal in the pulmonary arteries were evaluated.Respiratory status and complications were assessed at the 1,2 and 3 months.Results All patients completed the operation through the Acostream thrombus suction device.One patient was transferred to the Intensive Care Unit after 3d of automatic discharge because of the septic shock aggravation,and the remaining 9 patients showed significant improvement in strenuous breathing and other symptoms.At 72h after surgery,arterial blood oxygen partial pressure,finger pulse oxygen,heart rate,troponin I,N-terminal prohormone of brain natriuretic peptide,D dimer,and right ventricular ratio to left ventricular diameter of patients were improved compared with preoperative value,and the difference was statistically significant(P＜0.05).During the follow-up period,one patient relapsed due to the withdrawal of anticoagulants.Conclusion Acostream thrombus suction device is safe,effective,and has high clinical application value in the treatment of medium-high risk APE.
