Your browser doesn't support javascript.
loading
Percutaneous pulmonary thrombectomy with aspiration catheters in patients with high-risk pulmonary embolism and absolute contraindication to systemic thrombolysis.
Tébar, Daniel; Jurado-Román, Alfonso; Jiménez-Valero, Santiago; Galeote, Guillermo; Gonzálvez, Ariana; Rivero, Borja; García, Andoni; Añón Elizalde, Jose Manuel; Lorenzo, Alicia; Fernández Capitán, Carmen; Torres, Rosario; Soto, Clara; Alcolea, Sergio; Rosillo, Sandra; Caro Codón, Juan; Arbas, Emilio; Tejera, Fernando; Plaza, Ignacio; Boscá, Lisardo; Moreno, Raúl.
Afiliación
  • Tébar D; Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain. Electronic address: daniel.tebar.m@gmail.com.
  • Jurado-Román A; Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • Jiménez-Valero S; Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • Galeote G; Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • Gonzálvez A; Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • Rivero B; Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • García A; Intensive Care Unit, La Paz University Hospital, Madrid, Spain.
  • Añón Elizalde JM; Intensive Care Unit, La Paz University Hospital, Madrid, Spain.
  • Lorenzo A; Thromboembolic Disease Unit, Internal Medicine. La Paz University Hospital, Madrid, Spain.
  • Fernández Capitán C; Thromboembolic Disease Unit, Internal Medicine. La Paz University Hospital, Madrid, Spain.
  • Torres R; Emergency Department, La Paz University Hospital, Madrid, Spain.
  • Soto C; Pulmonary Hypertension Unit, La Paz University Hospital, Madrid, Spain.
  • Alcolea S; Pulmonary Hypertension Unit, La Paz University Hospital, Madrid, Spain.
  • Rosillo S; Cardiac Intensive Care Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • Caro Codón J; Cardiac Intensive Care Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • Arbas E; Cardiac Intensive Care Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain.
  • Tejera F; Intensive Care Unit, Infanta Cristina University Hospital, Madrid, Spain.
  • Plaza I; Cardiology Department, Infanta Sofia University Hospital, Madrid, Spain.
  • Boscá L; Hospital La Paz Research Foundation (IdiPAZ), Madrid, Spain; Network Center for Cardiovascular Diseases Research (CIBERcv), Spain; Sols-Morreale Biomedical Research Institute (CSIC-UAM), Spain; Autonomous University of Madrid, Madrid, Spain.
  • Moreno R; Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain; Hospital La Paz Research Foundation (IdiPAZ), Madrid, Spain.
Cardiovasc Revasc Med ; 2024 Jun 27.
Article en En | MEDLINE | ID: mdl-38960828
ABSTRACT

BACKGROUND:

High-risk Pulmonary Embolism (PE) mortality remains very high. Systemic thrombolysis is effective but carries significant complications and contraindications related to the hemorrhagic risk. Percutaneous thrombectomy using aspiration catheters may be an alternative in patients with a high bleeding risk.

OBJECTIVE:

This study aimed to evaluate the results of catheter-directed thrombectomy using aspiration dedicated catheters in patients with high-risk PE and absolute contraindication to systemic thrombolysis, with specific focus on procedural success, safety, and in-hospital outcomes.

METHODS:

A prospective study enrolled all consecutive patients diagnosed with high-risk pulmonary embolism and absolute contraindication to systemic thrombolysis, who underwent percutaneous pulmonary thrombectomy using dedicated aspiration catheters. The study documented the effectiveness and complications of the procedure, as well as patient outcomes at discharge and during the follow-up period.

RESULTS:

Thirteen patients underwent percutaneous pulmonary thrombectomy using aspiration dedicated catheters. The procedure was successful for all patients, resulting in hemodynamic and respiratory improvement within the first 24 h. No deaths attributable to cardiovascular or respiratory causes occurred during admission or follow-up. Furthermore, no serious adverse events or complications were reported during the procedure or hospitalization.

CONCLUSIONS:

Percutaneous pulmonary thrombectomy with dedicated aspiration catheters in patients with high-risk pulmonary embolism and contraindications to systemic thrombolysis was associated with excellent clinical results and low rate of complications.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cardiovasc Revasc Med Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cardiovasc Revasc Med Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos