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Balloon catheter pulmonary embolectomy under direct visual control using a choledochoscope.
MedLine Citation:
PMID:  21256337     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Acute massive pulmonary embolism has a high mortality rate despite advances in diagnosis and therapy. To salvage critically ill patients, complete clot extraction without arterial wall injury is essential. In this study, we performed balloon catheter embolectomy under direct visual control by using a flexible choledochoscope. For clear visualization, we introduced deep hypothermic circulatory arrest, and cold normal saline solution was flushed through the irrigation channel. From our experience, we believe that balloon catheter embolectomy with a choledochoscope allows easy access to the secondary and tertiary pulmonary branches and enables complete clot extraction.
Authors:
Koji Kawahito; Hideo Adachi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  91     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  621-3     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Cardiac Surgery, Jikei University School of Medicine, Kashiwa Hospital, Kashiwa, Japan.
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