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- Title
A seven-year single-center experience on AngioJet rheolytic thrombectomy in patients with pulmonary embolism at high risk and intermediate-high risk.
- Authors
Akbal, Özgür Yaşar; Keskin, Berhan; Tokgöz, Hacer Ceren; Hakgör, Aykun; Karagöz, Ali; Tanyeri, Seda; Kültürsay, Barkın; Külahçıoğlu, Şeyhmus; Bayram, Zübeyde; Efe, Süleyman Çağan; Erkılınç, Atakan; Tanboğa, İbrahim Halil; Doğan, Cem; Akbulut, Mehmet; Özdemir, Nihal; Kaymaz, Cihangir
- Abstract
Objective: AngioJet rheolytic thrombectomy (ART) has been used as a catheter-based treatment for acute pulmonary embolism (PE). In this study, based on our 7-year experience with ART in patients with PE, we evaluated the efficacy and safety outcomes of ART. Methods: Our study is based on retrospective evaluation of 56 patients with high- and intermediate-high-risk PE, with an average age of 62 years [interquartile range (IQR) 50-73 years] who underwent ART. Results: High and intermediate-high risks were noted in 21.4% and 78.6% of the patients, respectively. The ART duration was 304 (IQR: 246-468) seconds. Measures of obstruction, right to left ventricle diameter ratio, right to left atrial diameter ratio, and pulmonary arterial pressures were improved (p<0.001 for all). During the hospital stay, acute renal failure, major and minor bleeding, and mortality rates were 37.5%, 7.1%, 12.5%, and 8.9%, respectively. Aging related to post-procedural nephropathy while high-risk status was associated with in-hospital mortality (p=0.006) and long-term mortality. Conclusion: ART resulted in significant and clinically relevant improvements in the pulmonary arterial thrombotic burden, right ventricle strain, and hemodynamics in patients with PE at high and intermediate-high risk. Aging increased the risk of post-procedural nephropathy, whereas baseline high-risk status predicted in-hospital and long-term mortality.
- Subjects
PULMONARY embolism; THROMBECTOMY; ACUTE kidney failure; HOSPITAL mortality; LEFT heart atrium; THROMBOLYTIC therapy
- Publication
Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi, 2021, Vol 25, Issue 12, p902
- ISSN
2149-2263
- Publication type
Article
- DOI
10.5152/AnatolJCardiol.2021.28303