August 5, 2024Journal of Vascular Surgery Venous and Lymphatic DisordersOpen Access

Perioperative and intermediate outcomes of patients with pulmonary embolism undergoing catheter-directed thrombolysis vs percutaneous mechanical thrombectomy

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Authors

JTJunji TsukagoshiThe University of Texas Medical Branch at Galveston BWB WickJohn Sealy Hospital AKAbbas KarimJohn Sealy Hospital

Discussion

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Implication

Retrospective cohort study reveals reduced bleeding events and lower heart failure rates with mechanical thrombectomy in pulmonary embolism patients, highlighting improved procedural safety.

Key Points

Percutaneous mechanical thrombectomy reduces thirty-day bleeding risks and intermediate cardiac complications compared to catheter-directed thrombolysis for pulmonary embolism.
Lower odds of intracranial hemorrhage with an odds ratio of 0.46 accompanied mechanical thrombectomy, which also reduced right heart failure hazard to 0.49 across five years.
Retrospective cohort study of 2,204 propensity-matched patients highlights enhanced safety, supporting mechanical intervention over catheter-directed thrombolysis in clinical care.

Cite This Study

Tsukagoshi et al. (2024) studied this question.

synapsesocial.com/papers/68e5d588b6db64358756bd23 https://doi.org/10.1016/j.jvsv.2024.101958

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August 5, 2024Journal of Vascular Surgery Venous and Lymphatic DisordersOpen Access

Perioperative and intermediate outcomes of patients with pulmonary embolism undergoing catheter-directed thrombolysis vs percutaneous mechanical thrombectomy

View Full Paper

Ask AI

Bookmark

Authors

JTJunji TsukagoshiThe University of Texas Medical Branch at Galveston BWB WickJohn Sealy Hospital AKAbbas KarimJohn Sealy Hospital

Discussion

Member takes

Implication

Retrospective cohort study reveals reduced bleeding events and lower heart failure rates with mechanical thrombectomy in pulmonary embolism patients, highlighting improved procedural safety.

Key Points

Percutaneous mechanical thrombectomy reduces thirty-day bleeding risks and intermediate cardiac complications compared to catheter-directed thrombolysis for pulmonary embolism.
Lower odds of intracranial hemorrhage with an odds ratio of 0.46 accompanied mechanical thrombectomy, which also reduced right heart failure hazard to 0.49 across five years.
Retrospective cohort study of 2,204 propensity-matched patients highlights enhanced safety, supporting mechanical intervention over catheter-directed thrombolysis in clinical care.

Cite This Study

Tsukagoshi et al. (2024) studied this question.

synapsesocial.com/papers/68e5d588b6db64358756bd23 https://doi.org/10.1016/j.jvsv.2024.101958

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