Clinical experience with intraluminal management of acute massive pulmonary thromboembolism

Greenfield, Lazar J.; Zocco, J.James; Scoggins, William G.

doi:10.1016/0002-9149(78)90422-8

Cited by 1 publication

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“…They performed IVR therapy for pulmonary embolism, using a special catheter of their own design. [18][19][20] In Japan, there have been reports following this of thrombus aspiration therapy using percutaneous transluminal coronary reperfusion (PTCA) guide catheters. [21][22] In recent years, thrombus aspiration catheters have been developed for unblocking shunts in hemodialysis patients.…”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric arterial embolism: treatment by trans-catheter thrombo-aspiration

Ogihara

Yamamura

Tomono

et al. 2003

Journal of Gastroenterology

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A 57-year-old woman with hypertension, mixed mitral valve disease, and atrial fibrillation was admitted to our hospital because of abdominal pain continuing for several hours. On the following day, colonoscopy was performed, and diffuse yellow-white pseudomembranous changes were seen in the right hemicolon, but there were no abnormal findings in the left hemicolon; 24 h after onset, a diagnosis of superior mesenteric arterial embolism was made on the computed tomography (CT) scan findings. Abdominal angiography was performed and showed complete occlusion of the superior mesenteric artery (SMA). Then conservative treatment, using per-catheteric thrombus aspiration, was done, followed by intraarterial injection of tissue type plasminogen activator. After the thrombo-aspiration, the filling deficit of the main artery had disappeared, and the branches on the right side were clearly delineated. After the treatment, the symptoms such as abdominal pain and diarrhea improved accordingly. She was discharged from the hospital 27 days later. Our case suggests that trans-catheter thrombo-aspiration is a possible alternative to open embolectomy for some cases of SMA embolism more than 10 h post-onset.

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Section: Discussionmentioning

confidence: 99%