Abstract：
BACKGROUND: Mechanical thrombectomy is a useful technique in patients with high-risk pulmonary embolism. It is indicated as an alternative to systemic fibrinolysis when it is contraindicated or as an adjuvant therapy when it fails.
OBJECTIVE: To describe clinical characteristics, evolution and survival of patients with high-risk pulmonary embolism who have undergone mechanical thrombectomy.
METHODS: Single-center retrospective descriptive study of consecutive patients who underwent mechanical thrombectomy. Demographic, clinical and survival variables were analyzed.
RESULTS: 9 patients were included (56% men, 44% women). All patients had pulmonary artery pressure assessed using a Swan-Ganz catheter before thrombectomy. The median pulmonary artery pressure before the procedure was 46mmHg (51-38mmHg). Systemic fibrinolysis was also performed in 5 cases, in 2 of them in the setting of cardiorespiratory arrest, without hemorrhagic complications. No patient died during hospitalization. Survival one month after the procedure was 100%.
CONCLUSIONS: In our series, mechanical thrombectomy is a useful technique as an alternative to systemic fibrinolysis or as an adjuvant therapy to it.
OBJECTIVE: To describe clinical characteristics, evolution and survival of patients with high-risk pulmonary embolism who have undergone mechanical thrombectomy.
METHODS: Single-center retrospective descriptive study of consecutive patients who underwent mechanical thrombectomy. Demographic, clinical and survival variables were analyzed.
RESULTS: 9 patients were included (56% men, 44% women). All patients had pulmonary artery pressure assessed using a Swan-Ganz catheter before thrombectomy. The median pulmonary artery pressure before the procedure was 46mmHg (51-38mmHg). Systemic fibrinolysis was also performed in 5 cases, in 2 of them in the setting of cardiorespiratory arrest, without hemorrhagic complications. No patient died during hospitalization. Survival one month after the procedure was 100%.
CONCLUSIONS: In our series, mechanical thrombectomy is a useful technique as an alternative to systemic fibrinolysis or as an adjuvant therapy to it.
摘要：
背景：机械血栓切除术是高危肺栓塞患者的一种有用技术。当禁忌时，它被指示为全身性纤维蛋白溶解的替代方案，当它失败时，它被指示为辅助治疗。
目的：描述临床特征，接受机械血栓切除术的高危肺栓塞患者的演变和生存。
方法：对连续接受机械血栓切除术的患者进行单中心回顾性描述性研究。人口统计,分析了临床和生存变量.
结果：包括9例患者（56％的男性，44％的妇女）。所有患者在血栓切除术前使用Swan-Ganz导管评估肺动脉压。术前肺动脉压中位数为46mmHg（51-38mmHg）。5例还进行了全身纤溶，其中两个在心肺骤停的情况下，无出血并发症.没有患者在住院期间死亡。手术后一个月的存活率为100%。
结论：在我们的系列中，机械血栓切除术是一种有用的技术，可替代全身性纤维蛋白溶解或作为其辅助治疗。
目的：描述临床特征，接受机械血栓切除术的高危肺栓塞患者的演变和生存。
方法：对连续接受机械血栓切除术的患者进行单中心回顾性描述性研究。人口统计,分析了临床和生存变量.
结果：包括9例患者（56％的男性，44％的妇女）。所有患者在血栓切除术前使用Swan-Ganz导管评估肺动脉压。术前肺动脉压中位数为46mmHg（51-38mmHg）。5例还进行了全身纤溶，其中两个在心肺骤停的情况下，无出血并发症.没有患者在住院期间死亡。手术后一个月的存活率为100%。
结论：在我们的系列中，机械血栓切除术是一种有用的技术，可替代全身性纤维蛋白溶解或作为其辅助治疗。
