NYMC Faculty Publications

Simultaneous Real-Time Intravascular Ultrasound-Guided Transcatheter Pulmonary Embolectomy Improves Procedural Accuracy, Efficacy, and Safety

Author Type(s)

Faculty, Resident/Fellow

DOI

10.1016/j.jaccas.2022.01.004

Journal Title

JACC. Case Reports

First Page

348

Last Page

353

Document Type

Article

Publication Date

3-16-2022

Department

Medicine

Second Department

Surgery

Keywords

CDE, catheter-directed embolectomy, CTA, computed tomography angiography, IVUS, intravascular ultrasound, LPA, left pulmonary artery, LV, left ventricular, PA, pulmonary artery, PE, pulmonary embolism, RHC, right-sided heart catheterization, RPA, right pulmonary artery, RV, right ventricular, intravascular ultrasound, sPESI, Simplified Pulmonary Embolism Severity Index, transcatheter pulmonary embolectomy

Disciplines

Medicine and Health Sciences

Abstract

Percutaneous catheter-directed interventions for pulmonary embolism is a rapidly evolving field. We present the first case report of simultaneous intravascular ultrasound (IVUS) use during transcatheter pulmonary embolectomy. Real-time IVUS guidance offers the advantage of better clot visualization and precise suction catheter localization while minimizing contrast medium exposure and wire exchanges. ().

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