Catheter-based interventions versus medical and surgical approaches in acute pulmonary embolism

Cires-Drouet, Rafael; Nagarsheth, Khanjan H.; Kaczorowski, David J.; Toursavadkohi, Shahab; Deatrick, Kristopher B.; Madathil, Ronson J.; Jones, Kevin M.; Liskov, Steven; Fitch, Jeffrey; Sayad, Michelle; Pasrija, Chetan; Mayorga‐Carlin, Minerva; Herr, Daniel; Sorkin, John D.; Griffith, Bartley P.; Lal, Brajesh K.; Gammie, James S.

doi:10.1016/j.jvsv.2021.02.015

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…However, for patients with contraindications to anticoagulation and thrombolysis, surgical embolectomy and catheterbased therapy are viable options [9]. A retrospective study showed that catheter-based therapy reduced the number of recurrent PE cases compared to the medical group, but the mortality rate in the surgical group was lower than that in the interventional therapy group [10]. However, data on safety and efficacy are limited, and randomized trials and long-term observations are lacking.…”

Section: Fig-3mentioning

confidence: 99%

Acute Massive Pulmonary Embolism During Craniotomy: A Case Report

Wang

Yang

et al. 2023

Asp Biomed Clin Case Rep

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Background: Venous thrombosis is a common complication among critically ill patients with intracerebral hemorrhage, which may lead to pulmonary embolism. Case Presentation: In this report, we present a case of a man who was diagnosed with left basal ganglia region hemorrhage, hypertension, and venous thromboembolism. Considering the risks, including rebleeding and the expansion of the hematoma, he did not receive any anticoagulation after onset. The thrombus located in the pulmonary artery was found by transesophageal echocardiography after he suffered cardiac arrest during the craniotomy. Additionally, a thrombus attached to the central venous catheter was observed by ultrasound. Unfortunately, he died of PE without receiving any effective treatment. Conclusions: This case emphasizes the importance of prophylactic and therapeutic strategies for thromboembolic events among critically ill populations. It also underscores the critical role of perioperative ultrasound.

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Section: Fig-3mentioning

confidence: 99%

Acute Massive Pulmonary Embolism During Craniotomy: A Case Report

Wang

Yang

et al. 2023

Asp Biomed Clin Case Rep

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“…Although some studies offer promising results, Cires-Drouet et al also illustrate the variability in outcomes for CDT therapies showing that catheter-directed therapies were associated with a 17% greater mortality rate than SPE. 29 It is important to note that operator skillset and institutional resources will play a large role in dictating if and when catheter-directed intervention is applied. While multiple retrospective studies have compared CBT to OMT and SPE, prospective randomized data remains limited.…”

Section: Review Of Catheter-directed Management Of Massive Pulmonary ...mentioning

confidence: 99%

“…However, recurrent PE was less likely in the catheter-based therapy group when compared with OMT (0% vs. 6.4%). 29 A brief summary of the risks and benefits of each approach above can be found in ►Table 1.…”

Section: Catheter-directed Management Versus Medical Managementmentioning

confidence: 99%

Massive Embolism: Knife versus PCI

et al. 2022

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Pulmonary embolism is the third most common cardiovascular syndrome with an estimated up to 25% of patients presenting with sudden death. For those who survive, a mainstay of management for patients with hemodynamic stability is anticoagulation; however, recommendations and options are rapidly changing for patients with submassive or massive pulmonary embolism with hemodynamic instability. Catheter-based and surgical approaches offer efficacious management options for unstable patients or patients with contraindications to anticoagulation; however, both approaches have inherent benefits and risk. This article seeks to offer a brief review on the recommendations and options for management of pulmonary embolism from both surgical and catheter-based perspectives.

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Journal of Vascular Surgery: Venous and Lymphatic Disorders – November 2021 Audiovisual Summary

Gloviczki¹

2021

Journal of Vascular Surgery: Venous and Lymphatic Disorders

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Catheter-based interventions versus medical and surgical approaches in acute pulmonary embolism

Cited by 4 publications

References 29 publications

Acute Massive Pulmonary Embolism During Craniotomy: A Case Report

Acute Massive Pulmonary Embolism During Craniotomy: A Case Report

Massive Embolism: Knife versus PCI

Journal of Vascular Surgery: Venous and Lymphatic Disorders – November 2021 Audiovisual Summary

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