Transvenous Pulmonary Embolectomy by Catheter Device

Greenfield, Lazar J.; Bruce, Thomas A.; Nichols, Natalie

doi:10.1097/00000658-197112000-00001

Cited by 54 publications

(30 citation statements)

References 4 publications

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“…36 The outcome was excellent in their series, but others did not achieve equivalent results. Recently, simpler methods using a pig-tail catheter have been developed.…”

Section: Mortality and Morbidity Of Acute Pulmonary Embolectomymentioning

confidence: 91%

Embolectomy for acute pulmonary thromboembolism: From Trendelenburg’s procedure to the contemporary surgical approach

Fukuda

Taniguchi

2010

Surg Today

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Acute pulmonary thromboembolism (APTE) is a potentially catastrophic event after surgery. We reviewed the literature on surgical pulmonary embolectomy to elucidate its place in emergency management. Although pulmonary embolectomy is invasive, prompt removal of the emboli decreases the right ventricular load and promotes quick recovery of cardiopulmonary function. Conversely, fibrinolytic therapy places additional burden on patients at risk of potential hemorrhagic complication. Surgical embolectomy is an effective procedure with a low risk of hemorrhage because anticoagulant therapy is needed for only a short time.

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“…36 The outcome was excellent in their series, but others did not achieve equivalent results. Recently, simpler methods using a pig-tail catheter have been developed.…”

Section: Mortality and Morbidity Of Acute Pulmonary Embolectomymentioning

confidence: 91%

Embolectomy for acute pulmonary thromboembolism: From Trendelenburg’s procedure to the contemporary surgical approach

Fukuda

Taniguchi

2010

Surg Today

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“…Our case also shows that it is possible to perform IVR therapy for patients with an occlusion at or proximal to the origin of the SMA and with the passage of time being more than 5 h if a collateral circulation is seen. The first report of successful thrombus aspiration therapy was by Greenfield et al 18 in 1971. They performed IVR therapy for pulmonary embolism, using a special catheter of their own design.…”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric arterial embolism: treatment by trans-catheter thrombo-aspiration

Ogihara

Yamamura

Tomono

et al. 2003

Journal of Gastroenterology

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A 57-year-old woman with hypertension, mixed mitral valve disease, and atrial fibrillation was admitted to our hospital because of abdominal pain continuing for several hours. On the following day, colonoscopy was performed, and diffuse yellow-white pseudomembranous changes were seen in the right hemicolon, but there were no abnormal findings in the left hemicolon; 24 h after onset, a diagnosis of superior mesenteric arterial embolism was made on the computed tomography (CT) scan findings. Abdominal angiography was performed and showed complete occlusion of the superior mesenteric artery (SMA). Then conservative treatment, using per-catheteric thrombus aspiration, was done, followed by intraarterial injection of tissue type plasminogen activator. After the thrombo-aspiration, the filling deficit of the main artery had disappeared, and the branches on the right side were clearly delineated. After the treatment, the symptoms such as abdominal pain and diarrhea improved accordingly. She was discharged from the hospital 27 days later. Our case suggests that trans-catheter thrombo-aspiration is a possible alternative to open embolectomy for some cases of SMA embolism more than 10 h post-onset.

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“…The goal of the catheter intervention is the removal of the obstructing thrombi from the main or lower lobe pulmonary arteries, to facilitate right ventricular recovery, and to improve symptoms and survival. 7,10 Since the first description of the Greenfield embolectomy device in 1971, 11 several catheter-based techniques have been introduced. 10 For patients with absolute contraindications to thrombolysis, contemporary catheter intervention techniques can be separated into 4 categories: (1) thrombus fragmentation, (2) rheolytic thrombectomy, (3) suction thrombectomy, and (4) rotational thrombectomy (Table 1).…”

Section: Indications For Catheter Interventionmentioning

confidence: 99%