Combined Clot Fragmentation and Aspiration in Patients With Acute Pulmonary Embolism*

Eid-Lidt, Guering; Gaspar, Jorge; Sandoval, Julio; Santos, F.; Pulido, Tomás; González‐Pacheco, Héctor; Martínez‐Sánchez, Carlos

doi:10.1378/chest.07-2656

Cited by 101 publications

(66 citation statements)

References 29 publications

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“…Using a mechanical method such as aspirating and mashing to eliminate the thrombi, balloon expanding, stent implantation, etc. can result in reperfusion within a short time and recover blood circulation [28] . However, when the disease duration is too long (> 2 wk) or angiography shows some lateral branch angiogenesis around the main vessels, there is no indication for TIPS and surgical treatment; or, if the treatment via TIPS fails, indirect PV-SMV thrombolysis is still an option [24] .…”

Section: Discussionmentioning

confidence: 99%

Interventional treatment for symptomatic acute-subacute portal and superior mesenteric vein thrombosis

Liu¹,

Wang²,

Fan³

et al. 2009

WJG

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AIM:To summarize our methods and experience with interventional treatment for symptomatic acute-subacute portal vein and superior mesenteric vein thrombosis (PV-SMV) thrombosis. METHODS:Forty-six patients (30 males, 16 females, aged 17-68 years) with symptomatic acute-subacute portal and superior mesenteric vein thrombosis were accurately diagnosed with Doppler ultrasound scans, computed tomography and magnetic resonance imaging. They were treated with interventional therapy, including direct thrombolysis (26 cases through a transjugular intrahepatic portosystemic shunt; 6 through percutaneous transhepatic portal vein cannulation) and indirect thrombolysis (10 through the femoral artery to superior mesenteric artery catheterization; 4 through the radial artery to superior mesenteric artery catheterization). RESULTS:The blood reperfusion of PV-SMV was achieved completely or partially in 34 patients 3-13 d after thrombolysis. In 11 patients there was no PV-SMV blood reperfusion but the number of collateral vessels increased significantly. Symptoms in these 45 patients were improved dramatically without severe operational complications. In 1 patient, the thrombi did not respond to the interventional treatment and resulted in intestinal necrosis, which required surgical treatment. In 3 patients with interventional treatment, thrombi re-formed 1, 3 and 4 mo after treatment. In these 3 patients, indirect PV-SMV thrombolysis was performed again and was successful. CONCLUSION:Interventional treatment, including direct or indirect PV-SMV thrombolysis, is a safe and effective method for patients with symptomatic acutesubacute PV-SMV thrombosis.

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Section: Discussionmentioning

confidence: 99%

Interventional treatment for symptomatic acute-subacute portal and superior mesenteric vein thrombosis

Liu¹,

Wang²,

Fan³

et al. 2009

WJG

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show abstract

“…Reported complications associated with local thrombolysis include RV perforation, significant bleeding at the puncture site, mechanical hemolywww.cardiologyjournal.org sis and blood loss [2,[15][16][17]. Among 304 patients from the International Cooperative Pulmonary Embolism Registry (ICOPER) who received PE thrombolysis, 21.7% suffered major bleeding and 3%had intracranial bleeding [18].…”

Section: Discussionmentioning

confidence: 99%

Systemic or local thrombolysis in high-risk pulmonary embolism

Macovei

Presura²,

Arsenescu-Georgescu

2015

Cardiol J

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“…We did not use mechanical thrombectomy devices in our small series because these devices were unavailable at that time in our angiographic laboratory. Aspiration of the fresh thrombus with a large lumen catheter has also been reported [14,25] . The advantages of this technique are that a large-lumen catheter is generally available in standard angiography laboratories, is of low cost compared with the various thrombectomy devices, and is an easy device which can be as effective as the various thrombectomy devices in removing thrombus from a vessel [16,25] .…”

Section: C B Amentioning

confidence: 92%

“…Aspiration of the fresh thrombus with a large lumen catheter has also been reported [14,25] . The advantages of this technique are that a large-lumen catheter is generally available in standard angiography laboratories, is of low cost compared with the various thrombectomy devices, and is an easy device which can be as effective as the various thrombectomy devices in removing thrombus from a vessel [16,25] . In patients with acute extensive thrombosis of the PV-SMV, mechanical thrombectomy could initially be used to debulk the thrombus, and pharmacologic thrombolysis would probably still be necessary in most cases to treat residual thrombosis and to treat thrombus in the small and peripheral veins [16,23] .…”

Section: C B Amentioning

confidence: 92%

Acute extensive portal and mesenteric venous thrombosis after splenectomy: Treated by interventional thrombolysis with transjugular approach

Wang

Lin²,

Guo³

et al. 2009

WJG

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Combined Clot Fragmentation and Aspiration in Patients With Acute Pulmonary Embolism*

Cited by 101 publications

References 29 publications

Interventional treatment for symptomatic acute-subacute portal and superior mesenteric vein thrombosis

Interventional treatment for symptomatic acute-subacute portal and superior mesenteric vein thrombosis

Systemic or local thrombolysis in high-risk pulmonary embolism

Acute extensive portal and mesenteric venous thrombosis after splenectomy: Treated by interventional thrombolysis with transjugular approach

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