title: Successful management of acute massive pulmonary embolism using Angiovac suction catheter technique in a hemodynamically unstable patient.
abstract: Massive pulmonary embolism with hemodynamic instability is a life-threatening condition requiring immediate treatment. Urgent thrombectomy or thrombolysis is commonly used for the treatment of this condition. However, surgery is associated with high mortality rate and many patients have contraindications to thrombolytic therapy and are at high risk for bleeding. Cather-based intervention has gained increasing popularity particularly in patients with contraindication to thrombolytic therapy or at high risk for surgical thrombectomy. Catheter-based thrombus removal can be achieved by many means such as suction, fragmentation, extraction or rheolytic thrombectomy. We present a case of an elderly lady who suffered from acute massive pulmonary embolism with hemodynamic compromise successfully treated with AngioVac catheter system (AngioDynamics, Albany, NY) with full recovery.
authors: Department of Internal Medicine, CareMore, Arizona, Tucson, AZ, USA.
authors: Ahmed K
authors: AK
authors: Pasha
authors: Heart and Vascular Institute, 4160 John R, Suite 510, Detroit, MI, USA; Wayne State University/Detroit Medical Center, Detroit, MI 48201, USA.
authors: Mahir D
authors: MD
authors: Elder
authors: Department of Internal Medicine, Providence Hospital, Southfield, MI, USA.
authors: Daniyeh
authors: D
authors: Khurram
authors: Sarver Heart Center, University of Arizona, Tucson, AZ, USA.
authors: Branden A
authors: BA
authors: Snyder
authors: Department of Internal Medicine, CareMore, Arizona, Tucson, AZ, USA; Sarver Heart Center, University of Arizona, Tucson, AZ, USA; CareMore HealthCare, Tucson, AZ, USA. Electronic address: rmova@aol.com.
authors: Mohammad Reza
authors: MR
authors: Movahed
mesh_terms: D000368:Aged; D002404:Catheterization / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006439:Hemodynamics; D006801:Humans; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D013396:Suction; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D062666:Vascular Access Devices
keywords: Catheter-based intervention; Embolectomy; Pulmonary embolism; Thrombectomy; Thrombolysis; Thrombolytic therapy; Thrombus suctioning