Catheter-Based Embolectomy for Acute Pulmonary Embolism: Devices, Technical Considerations, Risks, and Benefits

Interv Cardiol Clin. 2018 Jan;7(1):91-101. doi: 10.1016/j.iccl.2017.08.003.

Abstract

A significant number of patients with high-risk pulmonary embolism have contraindications to thrombolytic therapy. Catheter-based therapy may be helpful and consists of a multitude of catheters and techniques, some old and some new. Although there are few data supporting the use of any of these techniques, there has been a recent rise in interest and use of catheter-based pulmonary embolectomy. This text describes the contemporary devices used in pulmonary embolism treatment, discusses their challenges, and proposes some future directions.

Keywords: Catheter therapy; Catheter-directed therapy; Percutaneous intervention; Pulmonary embolectomy; Pulmonary embolism.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Catheterization, Swan-Ganz / instrumentation*
  • Embolectomy / instrumentation*
  • Equipment Design
  • Humans
  • Pulmonary Embolism / surgery*
  • Risk Factors
  • Treatment Failure