Effective Treatment of Intermediate-Risk Pulmonary Embolism by Manual Thrombus Aspiration. A Report of Two Cases

Rapid clinical and haemodynamic improvement in a patient with intermediate-high risk pulmonary embolism treated with transcatheter aspiration thrombectomy

“…Interestingly, the improvement in clinical, haemodynamic and respiratory status was rapidly obtained without achieving complete thrombus removal. Even partial improvement of pulmonary flow can restore sufficient cardiac output and reverse heart overload [2]. Distal embolization during mechanical thrombectomy might however limit the flow to the segmental branches and increase pulmonary arterial resistance even despite continuous aspiration.…”