Coil embolization combined with balloon tamponade can be a lifesaving treatment for large vessel perforations such as pulmonary artery perforation during mechanical thrombectomy.
May salvage pulmonary artery perforation during thrombectomy; hypothesis-generating and requires prospective validation before practice change.
We present a case of left pulmonary artery perforation during mechanical thrombectomy for treatment of pulmonary embolism. The patient’s condition became hemodynamically unstable, with massive hemoptysis requiring intubation and multiple vasopressor agents. Prompt balloon tamponade and 0.035 mm coil embolization halted the extravasation. Coil embolization can be a lifesaving treatment for large vessel perforations. (Level of Difficulty: Intermediate.)
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Varghese et al. (2023) studied this question.
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