%0 Case Reports
%T Catheter directed therapy in high-risk pulmonary embolism: Analysis of 9 cases.
%A Pascual García S
%A Castell Herrera A
%A Cuesta Pérez JJ
%A Rodriguez Perojo A
%A Abad Fernández A
%A Río Ramirez MT
%J Med Clin (Barc)
%V 0
%N 0
%D 2024 Jul 2
%M 38960792
%F 3.2
%R 10.1016/j.medcli.2024.04.024
%X <B>BACKGROUND: </B>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.<BR><B>OBJECTIVE: </B>To describe clinical characteristics, evolution and survival of patients with high-risk pulmonary embolism who have undergone mechanical thrombectomy.<BR><B>METHODS: </B>Single-center retrospective descriptive study of consecutive patients who underwent mechanical thrombectomy. Demographic, clinical and survival variables were analyzed.<BR><B>RESULTS: </B>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%.<BR><B>CONCLUSIONS: </B>In our series, mechanical thrombectomy is a useful technique as an alternative to systemic fibrinolysis or as an adjuvant therapy to it.