Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients
Background. Massive or submassive pulmonary embolism (PE) carries a high mortality. Percutaneous mechanical thrombectomy using the Angiojet system is accepted for the treatment of PE. Here, we reported two submassive PE cases who were treated with the Angiojet system successfully, to provide some ad...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/6867338 |
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| author | Jinbo Liu Tianrun Li Wei Huang Na Zhao Hongwei Zhao Hongyu Wang |
| author_facet | Jinbo Liu Tianrun Li Wei Huang Na Zhao Hongwei Zhao Hongyu Wang |
| author_sort | Jinbo Liu |
| collection | DOAJ |
| description | Background. Massive or submassive pulmonary embolism (PE) carries a high mortality. Percutaneous mechanical thrombectomy using the Angiojet system is accepted for the treatment of PE. Here, we reported two submassive PE cases who were treated with the Angiojet system successfully, to provide some advice for the therapy of submassive PE. Method. Two patients with suffocation were admitted to our hospital. One patient was accompanied by lower blood pressure (20% lower than basal blood pressure) and higher pulmonary artery pressure (89 mmHg); the other patient had larger right ventricular transverse diameter (46 mm), decreased left ventricular end diastolic anteroposterior diameter (34 mm), and higher heartbeats (107 heartbeats per minute). Pulmonary artery computed tomography angiography showed bilateral pulmonary embolism. Result. The Angiojet system with a high-pressure jet spray pattern (urokinase 25 wiu+sodium chloride injection 50 ml) was used. Intravascular thrombolysis by urokinase (100 wiu/day for 1 day) was done after being back in the ward. And low molecular weight heparin was used in hospitalization, and rivaroxaban was used after discharge. Both patients were treated successfully. However, the level of platelet was significantly lower in one patient after Angiojet system usage and recovered to the preoperative level the next day. Another patient suffered from bradyarrhythmias during the usage of Angiojet, and bradyarrhythmias disappeared when the Angiojet system stopped. Pulmonary embolism was cured after 3 months in both patients. Conclusion. Angiojet could be a simple, safe, and well-tolerated treatment for massive or submassive PE. And hematocrit, platelet, kidney function, and heart rhythm should be monitored during perioperation. |
| format | Article |
| id | doaj-art-cffa15ef60e04d2fad9e40eef5b7d635 |
| institution | Kabale University |
| issn | 2090-6994 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-cffa15ef60e04d2fad9e40eef5b7d6352025-02-03T01:23:11ZengWileyCase Reports in Vascular Medicine2090-69942022-01-01202210.1155/2022/6867338Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two PatientsJinbo Liu0Tianrun Li1Wei Huang2Na Zhao3Hongwei Zhao4Hongyu Wang5Department of Vascular MedicineVascular Health Research Center of Peking University Health Science CenterDepartment of Vascular MedicineDepartment of Vascular MedicineDepartment of Vascular MedicineDepartment of Vascular MedicineBackground. Massive or submassive pulmonary embolism (PE) carries a high mortality. Percutaneous mechanical thrombectomy using the Angiojet system is accepted for the treatment of PE. Here, we reported two submassive PE cases who were treated with the Angiojet system successfully, to provide some advice for the therapy of submassive PE. Method. Two patients with suffocation were admitted to our hospital. One patient was accompanied by lower blood pressure (20% lower than basal blood pressure) and higher pulmonary artery pressure (89 mmHg); the other patient had larger right ventricular transverse diameter (46 mm), decreased left ventricular end diastolic anteroposterior diameter (34 mm), and higher heartbeats (107 heartbeats per minute). Pulmonary artery computed tomography angiography showed bilateral pulmonary embolism. Result. The Angiojet system with a high-pressure jet spray pattern (urokinase 25 wiu+sodium chloride injection 50 ml) was used. Intravascular thrombolysis by urokinase (100 wiu/day for 1 day) was done after being back in the ward. And low molecular weight heparin was used in hospitalization, and rivaroxaban was used after discharge. Both patients were treated successfully. However, the level of platelet was significantly lower in one patient after Angiojet system usage and recovered to the preoperative level the next day. Another patient suffered from bradyarrhythmias during the usage of Angiojet, and bradyarrhythmias disappeared when the Angiojet system stopped. Pulmonary embolism was cured after 3 months in both patients. Conclusion. Angiojet could be a simple, safe, and well-tolerated treatment for massive or submassive PE. And hematocrit, platelet, kidney function, and heart rhythm should be monitored during perioperation.http://dx.doi.org/10.1155/2022/6867338 |
| spellingShingle | Jinbo Liu Tianrun Li Wei Huang Na Zhao Hongwei Zhao Hongyu Wang Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients Case Reports in Vascular Medicine |
| title | Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients |
| title_full | Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients |
| title_fullStr | Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients |
| title_full_unstemmed | Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients |
| title_short | Angiojet System Used in the Treatment of Submassive Pulmonary Embolism: A Case Report of Two Patients |
| title_sort | angiojet system used in the treatment of submassive pulmonary embolism a case report of two patients |
| url | http://dx.doi.org/10.1155/2022/6867338 |
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