Why the study?
Does mechanical thrombectomy improve hemodynamics and functional outcomes in intermediate-risk pulmonary embolism patients?
Does mechanical thrombectomy improve hemodynamics and functional outcomes in intermediate-risk pulmonary embolism patients?
A significant proportion of intermediate-risk pulmonary embolism patients present with normotensive shock, and mechanical thrombectomy improves their hemodynamics and functional outcomes at 30 days.
May support thrombectomy consideration in intermediate-risk PE with normotensive shock; hypothesis-generating and leaves open need for RCTs.
Although hemodynamically stable, over one-third of intermediate-risk FLASH patients were in normotensive shock with a depressed cardiac index. A composite shock score effectively further risk stratified these patients. Mechanical thrombectomy improved hemodynamics and functional outcomes at the 30-day follow-up.
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Bangalore et al. (2023) studied this question.
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