Late Clinical Outcomes of Hybrid Catheter Intervention for Acute Massive Pulmonary Thromboembolism

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  • Tajima Hiroyuki
    Department of Diagnostic Radiology, Saitama Medical University International Medical Center Department of Radiology, Nippon Medical School
  • Ueda Tatsuo
    Department of Radiology, Nippon Medical School
  • Mine Takahiro
    Department of Radiology, Nippon Medical School
  • Onozawa Shiro
    Department of Radiology, Teikyo University School of Medicine
  • Murata Satoru
    Department of Radiology, Teikyo University School of Medicine

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<p>Purpose: We aimed to investigate the long-term outcomes of patients undergoing hybrid catheter intervention for acute massive pulmonary thromboembolism.</p><p>Material and Methods: Twenty-five patients with hemodynamic impairment were treated with mechanical thrombus fragmentation, an intrapulmonary injection of mt-PA, and manual clot aspiration between August 1999 and June 2002. All patients were discharged after the procedure. Patients' statuses were checked by medical record examinations and telephone interviews. The median follow-up was 141 months (115-168 months).</p><p>Results: Ten patients died during follow-up, five for malignancy, three for septic shock, one for cerebral infarction, and one for heart failure. One patient had recurrence of pulmonary thromboembolism because of drug withdrawal by self-judgment. No chronic pulmonary thromboembolism was observed. The 1-year, 5-year, and 10-year survival rates were 87.5 ±6.8%, 83.3±7.6%, and 74.5±9.0%, respectively.</p><p>Conclusion: Patients who undergo hybrid catheter intervention for acute massive pulmonary thromboembolism show good long-term outcomes.</p>

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  • Interventional Radiology

    Interventional Radiology 5 (2), 74-76, 2020

    一般社団法人 日本インターベンショナルラジオロジー学会

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