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

Ahmed Hassanin; Hasan Ahmad; Syed Haidry; Atul Bali; Joshua B Goldberg

doi:10.1016/j.jaccas.2022.01.004

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

JACC Case Rep. 2022 Mar 16;4(6):348-353. doi: 10.1016/j.jaccas.2022.01.004.

Authors

Ahmed Hassanin¹, Hasan Ahmad¹, Syed Haidry¹, Atul Bali¹, Joshua B Goldberg²

Affiliations

¹ Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, New York, USA.
² Division of Cardiothoracic Surgery, Westchester Medical Center and New York Medical College, Valhalla, New York, USA.

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. (Level of Difficulty: Advanced.).

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.

Publication types

Case Reports