Large-bore suction thrombectomy for sub-massive pulmonary embolism during second trimester of pregnancy: a case report.

ABSTRACT:

Background

Pregnancy-associated pulmonary embolism (PAPE) remains a significant cause of maternal mortality. Anticoagulation remains the mainstay of therapy for most pulmonary embolism (PE)-related pregnancies. However, in patients with haemodynamic compromise or those refractory to anticoagulation, management is challenging. Systemic thrombolysis is associated with a substantial risk of maternal bleeding and fetal loss. In non-pregnant PE patients, large bore catheter-directed suction thrombectomy is a proven and important technique to manage intermediate or high-risk PE, allowing for normalization of pulmonary pressures, avoidance of haemodynamic deterioration, without the need for thrombolytics, major surgery, significant blood loss, or prolonged hospitalization.

Case summary

SUBMITTER: Kojodjojo P 

PROVIDER: S-EPMC10629693 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature