Catheter-directed clot fragmentation using the Cleanerâ„¢ device in a patient presenting with massive pulmonary embolism.
Overview
abstract
Massive pulmonary embolism not amenable to systemic thrombolysis is a therapeutic challenge. Catheter directed clot fragmentation and thrombolysis have been efficacious in this setting. We describe successfully treating a massive pulmonary embolism with catheter-directed thrombolysis and clot fragmentation using local tPA, aspiration, and the Cleanerâ„¢ device in a patient with an absolute contraindication to systemic thrombolysis.