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. 2018 Jun 1:83:e248-e252.
doi: 10.5114/pjr.2018.76785. eCollection 2018.

Treatment of the acute severe pulmonary embolism using endovascular methods

Inger E Keussen  1 , Carina Bursjoo  1 , Wojciech Cwikiel  2
Affiliations

Treatment of the acute severe pulmonary embolism using endovascular methods

Inger E Keussen et al. Pol J Radiol. .

Abstract

Purpose: To present a single-centre experience with endovascular treatment of patients with severe symptoms secondary to acute pulmonary embolism (PE).

Material and methods: Twenty-five patients were treated due to contraindications or deficient effects of systemic thrombolytic therapy. The patients were treated with a combination of fragmentation and aspiration, only aspiration, or only fragmentation, and with catheter-directed thrombolytic therapy.

Results: The saturation was improved following treatment in all patients, except in one where the procedure could not be completed. There were no immediate or late procedure-related complications.

Conclusions: Endovascular treatment of severe PE is a safe and efficient option in patients with failing effect or contraindication to systemic thrombolysis.

Keywords: embolectomy; endovascular procedure; pulmonary embolism.

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Figures

Figure 1
Figure 1
A) Emboli in the right pulmonary artery causing perfusion defects. B) Arrow-Trerotola in place in the artery to the lower lobe. C) Result after the endovascular treatment with improvement of the perfusion
Figure 2
Figure 2
Aspirated emboli
See this image and copyright information in PMC

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