title: Ultrasound accelerated catheter directed thrombolysis for pulmonary embolus and right heart thrombus secondary to transvenous pacing wires.
abstract: Acute pulmonary embolism is associated with a significant number of deaths each year, which are commonly attributed to deep venous thrombosis of the lower extremity. Pulmonary embolism due to right-sided cardiac thrombus associated with transvenous wires is a rare occurrence. Treatment considerations have been systemic anticoagulation with heparin or systemic thrombolytic therapy. A unique case of a patient with symptomatic PE and extensive atrial and ventricle thrombus formation associated with transvenous pacing wires treated with ultrasound accelerated catheter directed thrombolysis is presented.
authors.affiliation: Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University, Syracuse, NY 13206, USA. amankwak@upstate.edu
authors.forename: Kwame S
authors.initials: KS
authors.lastname: Amankwah
authors.forename: Keri
authors.initials: K
authors.lastname: Seymour
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Costanza
authors.forename: Vivian
authors.initials: V
authors.lastname: Gahtan
mesh_terms: D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D002404:Catheterization / Q000295:instrumentation; D057785:Catheters; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D012804:Sick Sinus Syndrome / Q000628:therapy; D015912:Thrombolytic Therapy / Q000295:instrumentation; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000295:instrumentation