Mechanical thrombectomy of major and massive pulmonary embolism with use of the Amplatz thrombectomy device
Investigative Radiology, ISSN: 0020-9996, Vol: 36, Issue: 6, Page: 317-322
2001
- 58Citations
- 14Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations58
- Citation Indexes56
- 56
- CrossRef45
- Clinical Citations1
- PubMed Guidelines1
- Policy Citations1
- Policy Citation1
- Captures14
- Readers14
- 14
Article Description
RATIONALE AND OBJECTIVES. To evaluate the feasibility of mechanical thrombectomy with the Amplatz thrombectomy device (ATD) in restoring patency of acutely thrombosed pulmonary arteries resulting from pulmonary embolism for the improvement of patient outcome. METHODS. Mechanical thrombectomy with the ATD (8F) was performed in nine consecutive patients with angiographically documented thrombus in the left or right pulmonary artery resulting from deep vein thrombosis (n = 4) or unknown cause (n = 5). RESULTS. The Miller index decreased from 18 to 11. In all patients, the majority of the thrombus in the pulmonary artery was cleared after a mean activation time of the ATD of 367 seconds. Thrombectomy was performed with the ATD alone (n = 4) or with additional long-term fibrinolysis therapy (n = 5) with infusion of recombinant tissue-type plasminogen activator. Pulmonary arterial pressure decreased from a mean of 57 mm Hg before mechanical thrombectomy to 55 mm Hg directly after the procedure and to 39 mm Hg after termination of the recombinant tissue-type plasminogen activator infusion. CONCLUSIONS. Mechanical thrombectomy with the ATD in patients with minor and major pulmonary embolism is technically feasible and safe. It is a potential alternative to drug-mediated thrombolysis and surgery. However, the incremental benefit of the ATD over conventional treatments could be shown only in a randomized controlled study.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=0034991634&origin=inward; http://dx.doi.org/10.1097/00004424-200106000-00003; http://www.ncbi.nlm.nih.gov/pubmed/11410751; http://journals.lww.com/00004424-200106000-00003; https://dx.doi.org/10.1097/00004424-200106000-00003; https://journals.lww.com/investigativeradiology/Fulltext/2001/06000/Mechanical_Thrombectomy_of_Major_and_Massive.3.aspx
Ovid Technologies (Wolters Kluwer Health)
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