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Fragmentation of massive pulmonary embolism by pigtail rotation catheter: possible complication.

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Title: Fragmentation of massive pulmonary embolism by pigtail rotation catheter: possible complication.
Authors: Schmitz-Rode, T.1 smiro@rad.rwth-aachen.de, Janssens, U.2, Hanrath, P.2, Günther, R.1, Günther, R W (AUTHOR)
Source: European Radiology. Oct2001, Vol. 11 Issue 10, p2047-2049. 3p.
Subjects: Pulmonary embolism, Arterial occlusions, Blood vessels, Pulmonary blood vessels, Pulmonary artery, Arterial diseases, Catheterization
Abstract: Fragmentation by pigtail rotation catheter may be a therapeutic option in acute massive pulmonary embolism, especially in patients with high risk of right ventricular failure. We report a patient with an occlusion of the right intermediate pulmonary artery by a large embolus, slightly protruding into the perfused right upper lobe artery. After initial catheter fragmentation, part of the embolus dislocated and produced an additional occlusion of the upper lobe artery. Hemodynamic parameters deteriorated. Continuation of catheter fragmentation finally provided for a hemodynamic stabilization and partial recanalization. Inadvertent occlusion of a major pulmonary arterial branch by dislocated embolus material may be considered as a complication of catheter fragmentation, which can be successfully managed by continuation of the fragmentation therapy. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: <searchLink fieldCode="DE" term="%22Pulmonary+embolism%22">Pulmonary embolism</searchLink><br /><searchLink fieldCode="DE" term="%22Arterial+occlusions%22">Arterial occlusions</searchLink><br /><searchLink fieldCode="DE" term="%22Blood+vessels%22">Blood vessels</searchLink><br /><searchLink fieldCode="DE" term="%22Pulmonary+blood+vessels%22">Pulmonary blood vessels</searchLink><br /><searchLink fieldCode="DE" term="%22Pulmonary+artery%22">Pulmonary artery</searchLink><br /><searchLink fieldCode="DE" term="%22Arterial+diseases%22">Arterial diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Catheterization%22">Catheterization</searchLink>
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  Data: Fragmentation by pigtail rotation catheter may be a therapeutic option in acute massive pulmonary embolism, especially in patients with high risk of right ventricular failure. We report a patient with an occlusion of the right intermediate pulmonary artery by a large embolus, slightly protruding into the perfused right upper lobe artery. After initial catheter fragmentation, part of the embolus dislocated and produced an additional occlusion of the upper lobe artery. Hemodynamic parameters deteriorated. Continuation of catheter fragmentation finally provided for a hemodynamic stabilization and partial recanalization. Inadvertent occlusion of a major pulmonary arterial branch by dislocated embolus material may be considered as a complication of catheter fragmentation, which can be successfully managed by continuation of the fragmentation therapy. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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