Document Detail

Applications of percutaneous mechanical thrombectomy in pulmonary embolism.
MedLine Citation:
PMID:  12772130     Owner:  NLM     Status:  MEDLINE    
Percutaneous mechanical thrombectomy (PMT) has matured into a reliable and valuable therapeutic tool in acute vascular diseases. PMT devices are designed to achieve rapid clearance of acute occlusion in large arteries and veins. This article provides a summary of cumulated experience on pulmonary embolism (PE) treatment with PMT devices. PMT devices are a heterogeneous group of devices that uses different forms of energy. Most of the devices do not totally eliminate thrombus rather fragment in small particles. The rationale of PMT is based on the rapid relief of central pulmonary obstruction. PMT in massive PE provides efficacious and safe debulking of centrally located thrombus in PE, lowering pulmonary artery pressures and improving hemodynamics and blood oxygenation. This results in lowering mortality if compared with natural history of PE, and reduced procedure time if compared with pharmacological thrombolysis. The clinical indications for percutaneous intervention in PE are discussed in the text.
Mario Fava; Soledad Loyola
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Techniques in vascular and interventional radiology     Volume:  6     ISSN:  1089-2516     ISO Abbreviation:  Tech Vasc Interv Radiol     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-05-28     Completed Date:  2003-07-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9806675     Medline TA:  Tech Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  53-8     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Elsevier Inc. All rights reserved.
Radiology Department, Pontificia Universidad Católica de Chile, School of Medicine, Santiago, Chile.
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MeSH Terms
Equipment Design
Postoperative Complications
Pulmonary Embolism / surgery*
Thrombectomy* / instrumentation,  methods
Thrombolytic Therapy

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