Key result
Percutaneous catheter thrombectomy improves pulmonary flow but fails to prevent fatal cardiogenic shock.
Case Report (n=1)
No
Percutaneous catheter thrombectomy can technically improve pulmonary flow in massive pulmonary thromboembolism, but early recognition is vital to prevent irreversible cardiogenic shock.
Thrombectomy may restore flow in massive PE but not reverse established cardiogenic shock; leaves open optimal intervention timing.
Acute massive pulmonary thromboembolism (PTE) is a life threatening medical condition. Therefore, prompt diagnosis and rapid recovery of the pulmonary flow is essential for decreasing the associated morbidity and mortality. We report here on a case of a 68-year old woman for whom we attempted percutaneous catheter thrombectomy in the treatment of an acute massive PTE. (Korean Circ J 2008;38:227-229)
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Chung et al. (2008) conducted a case report in Massive pulmonary thromboembolism (n=1). Percutaneous catheter thrombectomy was evaluated on Clinical survival and hemodynamic recovery. Percutaneous catheter thrombectomy successfully improved pulmonary arterial blood flow, but the patient ultimately succumbed to persistent cardiogenic shock 5 hours later.
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