Percutaneous intervention in acute pulmonary embolism

• الحاوية / القاعدة: International Journal of the Cardiovascular Academy
• المؤلفون الرئيسيون: Berkay Ekici, Murat Eren
• التنسيق: مقال
• اللغة: الإنجليزية
• منشور في: The Society of Cardiovascular Academy 2018-01-01
• الموضوعات: Percutaneous treatment; pulmonary thromboembolism; thrombectomy
• الوصول للمادة أونلاين: http://www.ijcva.com/article.asp?issn=2618-6012;year=2018;volume=4;issue=1;spage=6;epage=9;aulast=Ekici

Pulmonary thromboembolism (PTE) is usually caused by deep vein thrombosis (DVT) in the lower extremities; which can be as varied clinical spectrum as asymptomatic embolism detected incidentally to serious disease with massive embolism causing death. A 44 year-old female patient was admitted to emergency department with complaints of general condition impairment, hypotension and marked dyspnea. She had a fracture on the right femur proximal region after falling a month ago. Lower extremity Doppler ultrasonography revealed findings consistent with acute deep vein thrombosis in the right lower extremity. Emergency pulmonary CT angiography revealed bilateral massive pulmonary thromboembolism extending especially from the main pulmonary artery to the right pulmonary artery. IV thrombolytic was contraindicated as a result of head trauma and subdural hematoma history a month ago. The patient was taken to the catheter laboratory and we performed a selective thrombus aspiration and fragmentation. The vital signs and hemodynamics of the patient improved rapidly after the procedure. This case report is important for demonstrating rapid percutaneous management of a young female patient with a life-threatening condition and favourable outcome of percutaneous intervention despite many comorbid conditions.