Successful percutaneous mechanical thrombectomy in a haemodynamically unstable patient with massive pulmonary embolism |
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| Authors: | Mateo PORRES‐AGUILAR Oscar C. MUNOZ Paola ALVAREZ Emilio GONZALEZ‐AYALA |
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| Affiliation: | 1. Division of Respiratory, Critical Care, and Occupational Pulmonary Medicine, University of Utah Health Sciences Center/School of Medicine, Salt Lake City, Utah, Divisions of;2. Interventional Cardiology and;3. Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico;4. Pulmonary and Critical Care Medicine, Del Sol Medical Center, El Paso, Texas, USA, and |
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| Abstract: | Massive pulmonary embolism with haemodynamic instability has a high mortality. Traditionally these patients are treated with i.v. thrombolytic therapy. When this therapeutic approach is contraindicated, surgical embolectomy and most recently, percutaneous mechanical interventions are alternative treatment options. This case report presents a 73‐year‐old female with a residual hemiparesis secondary to a mengingioma resection 45 days previously, who presented with progressive shortness of breath, accompanied by oppressive chest pain, hypotension, tachycardia and severe hypoxaemia. CT pulmonary angiogram confirmed a massive pulmonary embolism extending into the lobar branches bilaterally. The patient was treated with percutaneous mechanical thrombectomy with excellent haemodynamic and clinical outcomes. |
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| Keywords: | massive pulmonary embolism percutaneous thrombectomy thrombolysis treatment |
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