• J Vasc Interv Radiol · Oct 2017

    Continuous Aspiration Mechanical Thrombectomy for the Management of Submassive Pulmonary Embolism: A Single-Center Experience.

    • Ramsey Al-Hakim, Alok Bhatt, and James F Benenati.
    • Miami Cardiac & Vascular Institute, Baptist Hospital of Miami, 8900 North Kendall Drive, Miami, FL 33176. Electronic address: ramsey.hakim@gmail.com.
    • J Vasc Interv Radiol. 2017 Oct 1; 28 (10): 1348-1352.

    AbstractThe Indigo Mechanical Thrombectomy System (Penumbra, Inc, Alameda, California) was used to treat 6 patients with submassive pulmonary embolism (PE) and a contraindication to thrombolysis. Systolic pulmonary artery pressure (58.2 mm Hg vs 43.0 mm Hg, P < .05), right ventricular/left ventricular ratio (1.7 vs 1.1, P < .05), Miller index (15.0 vs 9.8, P < 0.01), and CT obstructive index (60.4% vs 47.0%, P < .01) were significantly reduced after mechanical thrombectomy. There were no procedural or periprocedural complications. Continuous aspiration mechanical thrombectomy is a feasible and promising technique for management of submassive PE to decrease thrombus burden and reduce right heart strain.Copyright © 2017 SIR. Published by Elsevier Inc. All rights reserved.

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