title: Effective Treatment of Intermediate-Risk Pulmonary Embolism by Manual Thrombus Aspiration. A Report of Two Cases.
abstract: Manual thrombectomy, part of the armamentarium of interventional cardiologists, might also be considered as an effective and safe alternative to manage intermediate/high risk acute PE patients with contraindications to thrombolysis or with acute haemodynamic decompensation. We here describe two cases with intermediate risk pulmonary embolism and severe hypoxaemia where manual thrombectomy with a 10F dedicated catheter was effective and improved clinical and haemodynamic parameters. Currently, there's no clear and effective treatment for these patients, thus we believe that this therapy, as current ESC guidelines suggest, should become a possible alternative to systemic thrombolysis and anticoagulant regimen.
authors.affiliation: Interventional Cardiology, A.O. Fatebenefratelli, Milano, Italy.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Sebik
authors.affiliation: Interventional Cardiology, A.O. Fatebenefratelli, Milano, Italy. Electronic address: bcortese@gmail.com.
authors.forename: Bernardo
authors.initials: B
authors.lastname: Cortese
authors.affiliation: Interventional Cardiology, A.O.U.P. Paolo Giaccone, Palermo, Italy.
authors.forename: Dario
authors.initials: D
authors.lastname: Buccheri
authors.affiliation: Interventional Cardiology, A.O. Fatebenefratelli, Milano, Italy.
authors.forename: Pedro
authors.initials: P
authors.lastname: Silva-Orrego
authors.affiliation: Interventional Cardiology, O. Maggiore, Bologna, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Rubboli
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D061185:Mechanical Thrombolysis / Q000379:methods*; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography
keywords: Intermediate risk; Manual thrombectomy; Pulmonary embolism