Key result
Surgical embolectomy removes a 48 cm thrombus in acute PE after failed transcatheter aspiration.
Case Report (n=1)
Surgical embolectomy can be effective for removing extremely large, snake-like pulmonary thrombi when transcatheter aspiration fails, highlighting the importance of thorough pre-procedural imaging evaluation.
Thorough pre-procedural imaging may guide PE treatment selection; leaves open validation in larger cohorts.
A 56-year-old female patient presented with pulmonary embolism-related obstructive shock complicated by cardiac arrest. Computed tomography revealed a large snake-like thrombus. After unsuccessful imaging-guided transcatheter aspiration, targeting one end of the thrombus, surgical embolectomy was effective in removing a 48 cm single thrombus. A thorough evaluation of pre-procedural images could help determine the best treatment strategy and should be an essential part of the multidisciplinary decision-making process.
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Marchese et al. (2026) conducted a case report in Acute pulmonary embolism (n=1). Surgical embolectomy was evaluated on Thrombus removal. Surgical embolectomy successfully removed a 48 cm single thrombus in a patient with acute pulmonary embolism after unsuccessful imaging-guided transcatheter aspiration.
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