Successful mechanical thrombectomy of an intermediate-high risk acute pulmonary embolism using the Alpha Vac aspiration catheter

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-07-02 DOI:10.1016/j.jvscit.2024.101560

Bright Benfor MD, Jacob B. Watson MD, Tarundeep Singh MD, Eric K. Peden MD

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引用次数: 0

Abstract

Large-bore aspiration thrombectomy is emerging as a promising alternative for thrombus removal in acute pulmonary embolism (PE). In this article, we report a successful case with the newly approved AlphaVac F18⁸⁵ device in a 76-year-old patient presenting with an intermediate- to high-risk acute PE. Preoperative imaging demonstrated bilateral PE with a modified miller index of 30 and an right ventricle-to-left ventricle ratio of 2.1. Mechanical thrombectomy was performed under local anesthesia with mild sedation. The pulmonary artery pressures decreased from 85/27 to 46/13 immediately after thrombectomy. The postoperative course was notable for marked symptom improvement and repeat imaging showed a 63% decrease in clot burden with a decrease in right ventricle-to-left ventricle ratio to 1.3.

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使用 Alpha Vac 抽吸导管成功为一名中高危急性肺栓塞患者进行机械血栓清除术

大口径抽吸血栓切除术正在成为急性肺栓塞（PE）血栓清除术的一种有前途的替代方法。本文报告了一例使用新批准的 AlphaVac F1885 设备成功治疗中高风险急性 PE 的 76 岁患者的病例。术前造影显示双侧 PE，改良米勒指数为 30，右心室与左心室之比为 2.1。在轻度镇静的局部麻醉下进行了机械血栓切除术。血栓切除术后，肺动脉压立即从 85/27 降至 46/13。术后症状明显改善，复查造影显示血栓负荷减少了63%，右心室与左心室比率降至1.3。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.