A New Treatment for Severe Pulmonary Embolism Percutaneous Rheolytic Thrombectomy

作者: René Koning , Alain Cribier , Lowell Gerber , Hélène Eltchaninoff , Christophe Tron

DOI: 10.1161/01.CIR.96.8.2498

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摘要: Background The rheolytic thrombectomy catheter has been specially designed to remove intravascular thrombus from coronary and peripheral arteries. It demonstrates a practical application of Bernoulli’s principle relating low-pressure zone in the region high-velocity jet. In this device, effect is created by direct high-pressure saline jets located at tip. Thrombus drawn into and, because large pressure difference, undergoes mechanical thrombolysis due powerful mixing forces. resulting microparticles are aspirated through same removed body. Methods Results We report use device two patients presenting with severe pulmonary embolism contraindications thrombolytic therapy. procedures were successfully performed an excellent immediate angiographic result site thrombectomy. both cases, clinical improvement was maintained follow-up good ...

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