Stadler, Stefan and Debl, Kurt and Ritzka, Markus and Maier, Lars Siegfried and Sossalla, Samuel (2021) Bail-out treatment of pulmonary embolism using a large-bore aspiration mechanical thrombectomy device. ESC HEART FAILURE, 8 (5). pp. 4318-4321. ISSN 2055-5822,
Full text not available from this repository. (Request a copy)Abstract
We report on the first pulmonary embolism treatment via the large-bore aspiration mechanical thrombectomy device (Inari FlowTriever (R)) outside the USA, in a resuscitated patient on veno-arterial extracorporeal membrane oxygenation (VA-ECMO) suffering from severe and acute right heart failure. In this particular high-risk patient population, where thrombolysis is mostly not applicable, this new technology could be a promising solution as the combination of large-bore thrombus aspiration and extraction successfully removes large emboli. In our case, right ventricular function improved rapidly after the procedure, ECMO could be weaned, and the patient was dismissed 2 weeks after. In summary, we provide a new therapeutic option for the often difficult treatment of pulmonary embolism in high-risk patients on VA-ECMO.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; Pulmonary embolism; Large-bore aspiration mechanical thrombectomy device; FlowTriever; Veno-arterial ECMO |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Innere Medizin II |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Aug 2022 06:58 |
| Last Modified: | 09 Aug 2022 06:58 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46167 |
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