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Late clinical outcomes of manual aspiration thrombectomy for a massive acute pulmonary thromboembolism

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Abstract

Purpose

We investigated the late outcomes of patients who underwent manual aspiration thrombectomy for acute massive pulmonary thromboembolism.

Materials and methods

Fifteen patients underwent manual aspiration thrombectomy between December 1995 and June 2002. All patients were discharged after the procedure. Patients’ statuses were checked by medical record examinations and telephone interviews. The median follow-up was 162 months (116–208 months).

Results

Five patients died during follow-up; two for malignancy, one for septic shock, one for cerebral infarction, and in one patient the cause of death was unknown. There were no pulmonary thromboembolism-related deaths during the period and no recurrence. The 1-year survival rate was 100%, the 5-year survival rate was 75.0 ± 12.5%, and the 10-year survival rate was 75.0 ± 12.5%.

Conclusion

Patients who undergo manual aspiration thrombectomy for acute massive pulmonary thromboembolism show acceptable outcomes.

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References

  1. Ando M, et al. Guidelines for the diagnosis, treatment and prevention of pulmonary thromboembolism and deep vein thrombosis. JCS Joint Working Group. Circ J. 2011;75:1258–81.

    Article  Google Scholar 

  2. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2014;35:3033–80.

    Article  Google Scholar 

  3. Hao Q, Dong BR, Yue J, Wu T, Liu GJ. Thrombolytic therapy for pulmonary embolism. Cochrane Database Syst Rev. 2018;2018(12):CD004437 (Published online 2018 Dec 18).

    PubMed Central  Google Scholar 

  4. Vohra HA, Whistance RN, Mattam K, Kaarne M, Haw MP, Barlow CW. Early and late outcome of pulmonary embolectomy for acute massive pulmonary embolism. Ann Thorac Surg. 2010;90:1747–52.

    Article  Google Scholar 

  5. Fukuda I, Taniguchi S, Fukui K, Minakawa M, Daitoku K, Suzuki Y. Improved outcome of surgical pulmonary embolectomy by aggressive intervention for critically ill patients. Ann Thorac Surg. 2011;91:728–33.

    Article  Google Scholar 

  6. Mkalaluh S, Szczechowicz Matthias K, Gabor A. Twenty-year results of surgical pulmonary thromboembolism IC acute pulmonary embolism. Scand Cardiovasc J. 2016;53:98–103.

    Article  Google Scholar 

  7. Tajima H, Kaneshiro T, Takenoshita N, Ichikawa T, Isshiki S, Murata S, et al. Endo-venous treatment for acute massive pulmonary thromboembolism. Ann Vasc Dis. 2017;25:338–44.

    Article  Google Scholar 

  8. Kuo WT, Gould MK, Louie JD, Rosenberg JK, Sze DY, Hoffman LV. Catheter-directed therapy for the treatment of massive pulmonary embolism: systematic review and meta-analysis of modern techniques. J Vasc Interv Radiol. 2009;20:1431–40.

    Article  Google Scholar 

  9. Tajima H, Murata S, Kumazaki T, Nakazawa K, Kawamata H, Fukunaga T, et al. Manual aspiration thrombectomy with a standard PTCA guiding catheter for the treatment of acute massive pulmonary thromboembolism. Radiat Med. 2004;22(3):163–72.

    Google Scholar 

Download references

Funding

All authors have no financial disclosure. Partially supported by Research project Grant-in A-d for Scientific Research (C) project number 16k10365 from the Ministry of Education, Culture, Sports, Science, and Technology.

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Correspondence to Hiroyuki Tajima.

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All authors have no conflicts of interest.

Ethical approval

The study protocols of this retrospective analysis were approved by our local institutional review board.

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Tajima, H., Ueda, T., Mine, T. et al. Late clinical outcomes of manual aspiration thrombectomy for a massive acute pulmonary thromboembolism. Jpn J Radiol 39, 293–295 (2021). https://doi.org/10.1007/s11604-020-01054-9

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  • DOI: https://doi.org/10.1007/s11604-020-01054-9

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