Management of peripheral pulmonary emboli with the use of transvenous catheter-directed thrombolysis and right ventricular assist device

Sameh M. Said, Khaled F. Salhab, Lyle D. Joyce

Research output: Contribution to journalArticle

Abstract

Objectives: Pulmonary emboli (PE) can result in significant hemodynamic instability that requires urgent intervention; however, the management of peripheral emboli has been controversial. Patients and Methods: We present two patients in whom a right ventricular assist device (RVAD) was used in treating peripheral pulmonary embolism, applying the technique of pulmonary artery catheter-directed thrombolysis after resuscitation with an RVAD. Results: The clot burden was not suitable for surgical embolectomy due to its peripheral locations. The patients' hemodynamic conditions improved with thrombolytic therapy and gradually were weaned off the RVAD. Follow-up scans showed near resolution of all PE. Conclusion: Catheter-directed thrombolysis with an RVAD as an adjunct should be considered in management of peripheral PE. doi: 10.1111/jocs.12185 (J Card Surg 2013;28:611-615)

Original languageEnglish (US)
Pages (from-to)611-615
Number of pages5
JournalJournal of Cardiac Surgery
Volume28
Issue number5
DOIs
StatePublished - Sep 1 2013

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ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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