A Prospective, Single-Arm, Multicenter Trial of Catheter-Directed Mechanical Thrombectomy for Intermediate-Risk Acute Pulmonary Embolism

Implementation of a regional multidisciplinary pulmonary embolism response team: PERT-POZ initial 1-year experience

“…The PERT -POZ recommendation available for PE management in the acute setting including anticoagulation, systemic thrombolytic therapy, catheter -directed therapy, embolectomy, inferior vena cava (IVC) filter placement, extracorporeal membrane oxygenation (ECMO), temporary mechanical support, or a combination of these strategies. [5][6][7][8][9][10][11][12][13][14] Current guidelines recommend a multidisciplinary approach to PE management with the creation of a pulmonary embolism response team (PERT). 4 It is a group of specialists from different disciplines including cardiology, interventional cardiology, cardiothoracic surgery, vascular medicine, anesthesiology or intensive care, radiology, pulmonology, and hematology who rapidly evaluate, coordinate diagnosis, and offer full range of most advanced therapeutic options for patients with PE to rescue and prevent further deterioration.…”

“…4,30 However, as a result of recent development of interventional cardiology, percutaneous techniques (CDT) became an important alternative to SE. 5,[7][8][9]15,18,29,[31][32][33][34][35][36][37][38] They are aimed to quickly relive obstruction and restore pulmonary blood flow, thus increasing cardiac output and immediately restoring hemodynamical stability. 39 In the present study, all patients with high -risk PE received advanced therapy: ST or, in the presence of contraindications, SE or CDT.…”

Catheter-Directed Thrombectomy for Pulmonary Embolism in the Setting of Acute Stroke

“…Patients with acute PE saw improvement in right ventricle/left ventricle (RV/LV) ratio with only one patient experiencing a major bleeding episode. Approximately 98.1% of the cases used no adjunctive thrombolytics [6]. The AngioVac® system (Angiodynamics Inc., Latham, NY, USA) utilizes a 22-French catheter to remove emboli.…”

Percutaneous Thrombectomy of Impella-Associated Iliac Artery Thrombosis Using the FlowTriever System

“…Surgical intervention is usually the next step in similar scenarios. However, this was avoided in our case by performing an off-label thrombectomy using the FlowTriever Retrieval/Aspiration System, which is a singleuse mechanical thrombectomy device approved by the United States Food and Drug Administration (U.S FDA) for use in the pulmonary arteries (13) . This technique was successful in removing the whole thrombus and completely restoring the arterial blood flow to our patient's right lower extremity.…”