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May 19, 2023Journal of the Society for Cardiovascular Angiography & InterventionsOpen Access

Mechanical thrombectomy with the FlowTriever system for acute pulmonary embolism was associated with 4.6% 6-month mortality and improved normal RV function from 15.1% to 95.1% (P<0.0001).

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Why the study?

Mechanical thrombectomy provides rapid hemodynamic improvements after acute pulmonary embolism, but long-term benefits remain uncertain.

Does mechanical thrombectomy improve long-term symptoms, right ventricular function, and quality of life in patients with acute pulmonary embolism?

Population

799 patients with acute PE treated with the FlowTriever System

Design

Prospective, single-arm, multicenter registry

Follow-up

Mean 204 ± 46 days

Key result

Mechanical thrombectomy with the FlowTriever system for acute pulmonary embolism was associated with 4.6% 6-month mortality and improved normal RV function from 15.1% to 95.1% (P<0.0001).

Authors

SKSameer KhandharWJWissam JaberMBMatthew C. Bunte

Discussion

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Overview

Sustained 6-month gains in symptoms, RV function, and exercise capacity support thrombectomy durability in PE; leaves open randomized confirmation of long-term benefit.

Study Design

Type

Cohort (n=799)

Multicenter

Yes

Structured PICO

Does mechanical thrombectomy improve long-term symptoms, right ventricular function, and quality of life in patients with acute pulmonary embolism?

P
Population
799 patients (mean age 61.2 years, 45.9% female) with acute intermediate- and high-risk pulmonary embolism treated with the FlowTriever System, followed for a mean of 204 days.
E
Exposure
Mechanical thrombectomy with the FlowTriever System
O
Outcome
Six-month outcomes including modified Medical Research Council dyspnea scores (MMRCD), right ventricular (RV) function, 6-minute walk test distances, and PE quality-of-life scores (QoL)surrogate

Main Result

Absolute Event Rate: 95.1% vs 15.1%

p-value: p=<.0001

Mechanical thrombectomy for acute pulmonary embolism is associated with low 6-month mortality and significant improvements in right ventricular function, symptoms, and quality of life.

Cite This Study

Khandhar et al. (2023) conducted a cohort in Acute pulmonary embolism (n=799). Mechanical thrombectomy (FlowTriever System) vs. Baseline was evaluated on Normal echocardiographic right ventricular (RV) function at 6 months compared to baseline (p=<.0001). Mechanical thrombectomy with the FlowTriever system for acute pulmonary embolism was associated with 4.6% 6-month mortality and improved normal RV function from 15.1% to 95.1% (P<0.0001).

synapsesocial.com/papers/6a6015c5c2662a747aa62f06https://doi.org/10.1016/j.jscai.2023.101000
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