The Teaching Point

The CleanerTM may be of use as an additional mechanical clot fragmentation device during catheter directed therapy in the setting of massive pulmonary embolus.






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From the manuscript

Catheter-directed clot fragmentation using the CleanerTM device in a patient presenting with massive pulmonary embolism

Free full text article: Catheter-directed clot fragmentation using the Cleaner<sup>TM</sup> device in a patient presenting with massive pulmonary embolism

Abstract
Massive pulmonary embolism not amenable to systemic thrombolysis is a therapeutic challenge. Catheter directed clot fragmentation and thrombolysis have been efficacious in this setting. We describe successfully treating a massive pulmonary embolism with catheter-directed thrombolysis and clot fragmentation using local tPA, aspiration, and the CleanerTM device in a patient with an absolute contraindication to systemic thrombolysis.






References



1. Jaff MR, McMurtry S, Archer SL. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation 2011, 123: 1788-1830,
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2. Kearon C, Akl EA, Comerota AJ. Antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 2012; 141(2 (Suppl):e419S-e494S,
Get full text
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3. Kuo, WT, Gould MK, Louie JD, Rosenburg JK, Sze DY, Hofmann LV. Catheter-directed therapyfor the treatment of massive pulmonary embolism: systematic review and meta-analysis of modern techniques. J Vasc Interv Radiol 2009; 20:1431-1440
Get full text
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4. Kasper W, Konstantinides S. Management strategies and determinants of outcome in acute major pulmonary embolism: results of a multicenter registry. J Am
Get full text
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5. Kearon C, Kahn KR, Agnelli G, Goldhaber SZ, Raskob GE, Comerota AJ. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians evidence-based clinical practice guidelines (8th Edition). Chest 2008; 133 (Suppl):454S-545S
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet 1999; 353:1386-1389
Get full text
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7. Fiumara K, Kucher N, Fanikos J, Goldhaber SZ. Predictors of major hemorrhage following thrombolysis for acute pulmonary embolism. Am J Cardiol 2006; 97:127-129
Get full text
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8. PERFECT (Pulmonary Embolism Response to Fragmentation, Embolectomy, and Catheter Thrombolysis. registry. Available at: http://clinicaltrials.gov/ct2/show/NCT01097928.
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