Mechanical thrombectomy safe and sound, effective for high-risk pulmonary embolism

Mechanical thrombectomy safe and sound, effective for high-risk pulmonary embolism
Mechanical thrombectomy safe and sound, effective for significant-danger pulmonary embolism

Mechanical thrombectomy (MT) is protected and successful in actual-globe, large-hazard individuals with pulmonary embolism (PE), in accordance to a analyze published on the web Oct. 31 in the Journal of the Modern society for Cardiovascular Angiography & Interventions.

James M. Horowitz, M.D., from the NYU Grossman University of Medicine in New York Town, and colleagues assessed the protection and performance of MT for significant-hazard PE. The investigation involved 63 real-environment, recognized by the multicenter FlowTriever All-comer Registry for Affected individual Basic safety and Hemodynamics study.

The scientists discovered that forty seven.six per cent of people showed a systolic blood pressure <90 mm Hg, 46.0 percent required vasopressors, and 6.3 percent experienced cardiac arrest. At baseline, 72.6 percent of patients were tachycardic, 54.5 percent showed elevated lactate levels of ≥2.5 mM, and 42.9 percent showed a depressed cardiac index of <2 L/min/m2. Heart rate improved immediately after MT to 93.5 beats per minute. Twenty-five patients (42.4 percent) did not require an overnight stay in the intensive care unit. No mortalities or major adverse events occurred through 48 hours, and at 30-day follow-up, no mortalities occurred.

“Our findings highlight the effectiveness of as a first-line treatment for high-risk ,” Horowitz said in a statement. “By removing blood clots from the lungs, this procedure can rapidly restore blood flow and prevent fatal complications.”

Several authors disclosed ties to the medical technology industry.

More information: James M. Horowitz et al, Mechanical Thrombectomy for High-Risk Pulmonary Embolism: Insights From the US Cohort of the FLASH Registry, Journal of the Society for Cardiovascular Angiography & Interventions (2023). DOI: 10.1016/j.jscai.2023.101124
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Citation: Mechanical thrombectomy safe, effective for high-risk pulmonary embolism (2023, December 10) retrieved 10 December 2023 from https://medicalxpress.com/news/2023-12-mechanical-thrombectomy-safe-effective-high-risk.html

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