Case report: interventional thrombectomy with haemodynamic support by veno-arterial extracorporeal membrane oxygenation as a rescue strategy in acute pulmonary embolism refractory to systemic thrombolysis.

ABSTRACT:

Background

High-risk pulmonary embolism (PE) is associated with significant mortality. Thrombolysis is the therapy of choice, while interventional thrombectomy may be a helpful strategy in case of contraindications or failed thrombolysis. However, the procedure may be complicated by catheter-induced embolization of clots and/or haemodynamic compromise.

Case summary

We present a 32-year-old patient woman with fulminant pulmonary artery embolism. Despite immediate systemic thrombolysis, the patient remained in cardiogenic shock with rising lactate levels. Furthermore, floating clots were observed in the right atrium of the patient. As a rescue strategy, we performed interventional thrombectomy by using the Inari FlowTriever system supported by periinterventional veno-arterial

SUBMITTER: Mahmudlu F 

PROVIDER: S-EPMC11718386 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature