Management and Treatment of Pulmonary Embolism: Alpha to Omega-Mechanical Thrombectomy

Video Transcription

Video Summary

The video is a presentation on mechanical thrombectomy given by Kachi Ijeoma, a fellow trainee at Mass General Hospital. The presentation begins with an introduction to the objectives, which include reviewing a case that utilizes mechanical thrombectomy for acute pulmonary embolism (PE), discussing the role of mechanical thrombectomy in PE management, and reviewing mechanical thrombectomy devices used for acute PE. The case presented involves a 71-year-old woman with chronic heart failure and metastatic peritoneal carcinomatosis who presents with chest pain and is deemed an intermediate high-risk PE patient. The PERT team recommends mechanical thrombectomy in addition to anticoagulation. The results show improvement in hemodynamics and flow after the procedure. The ESC guidelines provide an algorithm for when to use these devices, and different mechanical thrombectomy devices are discussed. In summary, catheter-based therapies are adjunctive tools for managing high-risk or intermediate high-risk PE, and the choice of device depends on availability and expertise. Clinical trials are needed to guide recommendations.

Asset Subtitle

Nkechinyere Ijioma, MBBS

Keywords

mechanical thrombectomy

acute pulmonary embolism

PE management

mechanical thrombectomy devices

catheter-based therapies