Catheter directed interventions for pulmonary embolism: current status and future prospects.

Abstract:

:Introduction: Catheter directed interventions (CDIs) have evolved over the past decade in an attempt to reduce the complications of systemic thrombolysis, while providing equivalent therapeutic benefits.Areas covered: CDIs include a wide array of catheters that incorporate ultrasound technology, the infusion of thrombolytics through multi-side hole catheters and suction thrombectomy systems. We present a contemporary review summarizing the different catheter directed interventions currently available for acute PE, their indications, technical considerations, clinical effectiveness, complication rates and long-term outcomes.Expert opinion: For intermediate high-risk PE patients without a contraindication for thrombolysis, CDIs should be considered in patients at risk for clinical decompensation. For high risk PE patients with a major contraindication to thrombolytic therapy, suction thrombectomy can be considered in places with appropriate clinical and technical expertise.

journal_name

Expert Rev Med Devices

authors

Abou Ali AN,Saadeddin Z,Chaer RA,Avgerinos ED

doi

10.1080/17434440.2020.1714432

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

103-110

issue

2

eissn

1743-4440

issn

1745-2422

journal_volume

17

pub_type

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