title: [Percutaneous rheolytic thrombectomy in the treatment of high-risk acute pulmonary embolism: Initial experience of a single center].
abstract: For years, the treatment of high-risk pulmonary embolism (PE) was based on two well-defined strategies: thrombolysis, whose benefits have been documented in randomized trials, and surgical embolectomy. However, mechanical reperfusion by percutaneous techniques is used in an increasing number of patients, and is a valid therapeutic option when there is a formal contraindication to thrombolysis, as rescue therapy when thrombolysis fails to improve hemodynamics, and/or when emergency surgical thrombectomy is unavailable or contraindicated. This article discusses the indications for the use of percutaneous techniques in PE, reports the initial experience of our center with the AngioJet® thrombectomy device (Possis Medical Inc, Minneapolis, MN, USA) and reviews the available evidence, the most recent recommendations and the main complications associated with this procedure.
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal. Electronic address: rita.d.faria@gmail.com.
authors.forename: Rita
authors.initials: R
authors.lastname: Faria
authors.affiliation: Serviço de Medicina Interna, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Márcia
authors.initials: M
authors.lastname: Oliveira
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Marta
authors.initials: M
authors.lastname: Ponte
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Pires-Morais
authors.affiliation: Serviço de Medicina Interna, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Marta
authors.initials: M
authors.lastname: Sousa
authors.affiliation: Unidade de Cuidados Intensivos Polivalentes, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Paula
authors.initials: P
authors.lastname: Fernandes
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Alberto
authors.initials: A
authors.lastname: Rodrigues
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Braga
authors.affiliation: Unidade de Cuidados Intensivos Polivalentes, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gonçalves
authors.affiliation: Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Vasco
authors.initials: V
authors.lastname: Gama
mesh_terms: D000208:Acute Disease; D000368:Aged; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000601:surgery*; D012212:Rheology; D012307:Risk Factors; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*
keywords: Choque obstrutivo; High risk pulmonary embolism; Obstructive shock; Percutaneous thrombectomy; Trombectomia percutânea; Tromboembolismo pulmonar de alto risco