The "Lollipop" During Catheter-Directed Thrombectomy: 2 Case Examples

Daniella Concha; Sanjum S Sethi; Navneet Sharma; Koji Takeda; Anthony Pucillo; Martin B Leon; Erika Berman-Rosenzweig; Ajay J Kirtane; Sahil A Parikh; Matthew T Finn

doi:10.1016/j.jaccas.2022.09.029

The "Lollipop" During Catheter-Directed Thrombectomy: 2 Case Examples

JACC Case Rep. 2022 Nov 6;4(24):101667. doi: 10.1016/j.jaccas.2022.09.029. eCollection 2022 Dec 21.

Affiliation

¹ Columbia University Irving Medical Center/New York Presbyterian Hospital, Center for Interventional Vascular Therapy, New York, New York, USA.

Abstract

Intraprocedural embolization has been described as a potential complication of catheter thrombectomy for acute pulmonary embolism and may be under-recognized. We describe 2 case examples of "Lollipopping" during thrombectomy, which may be a mechanism of intraprocedural embolization and describe our treatment approach. (Level of Difficulty: Advanced.).

Keywords: IVC, inferior vena cava; PE, pulmonary embolism; RHC, right heart catheterization; complication; pulmonary circulation; thrombus.

Publication types

Case Reports