Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis
We present the case of a 33-year-old patient with atypical pulmonary anatomy secondary to fibrosing mediastinitis who underwent pulmonary thrombectomy with the Lightning Flash aspiration catheter following a pulmonary embolism triggered by tibial osteomyelitis. Despite an inconclusive computed tomog...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-02-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002569 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832594180233232384 |
|---|---|
| author | Lucas Peclat, MD João Marcos Fonseca e Fonseca, MD Fernando Tebet Ramos Barreto, MD Rafael Peclat Ana Paula Rolim Maia Peclat, MD Julio Peclat, MD, PhD |
| author_facet | Lucas Peclat, MD João Marcos Fonseca e Fonseca, MD Fernando Tebet Ramos Barreto, MD Rafael Peclat Ana Paula Rolim Maia Peclat, MD Julio Peclat, MD, PhD |
| author_sort | Lucas Peclat, MD |
| collection | DOAJ |
| description | We present the case of a 33-year-old patient with atypical pulmonary anatomy secondary to fibrosing mediastinitis who underwent pulmonary thrombectomy with the Lightning Flash aspiration catheter following a pulmonary embolism triggered by tibial osteomyelitis. Despite an inconclusive computed tomography angiography report, the diagnosis was made through clinical evaluation associated with electrocardiographic and echocardiographic changes. Angiography was crucial for diagnosis. The procedure was technically successful, resulting in immediate improvement in pulmonary artery systolic pressure and dyspnea. This case demonstrates the feasibility of aspiration thrombectomy in distorted anatomies and underscores the importance of early intervention in intermediate- to high-risk pulmonary embolism. |
| format | Article |
| id | doaj-art-eb416ac2b92c497da3e0c8489b7b0727 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-eb416ac2b92c497da3e0c8489b7b07272025-01-20T04:17:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101672Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitisLucas Peclat, MD0João Marcos Fonseca e Fonseca, MD1Fernando Tebet Ramos Barreto, MD2Rafael Peclat3Ana Paula Rolim Maia Peclat, MD4Julio Peclat, MD, PhD5Clínica Peclat, Rio de Janeiro, Brazil; Hospital BarraD'Or, Rio de Janeiro, Brazil; Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil; Correspondence: Lucas Peclat, MD, Av Lucio Costa, n3360 bl3 apt3001, Rio de Janeiro, BrazilClínica Peclat, Rio de Janeiro, Brazil; Hospital BarraD'Or, Rio de Janeiro, BrazilClínica Peclat, Rio de Janeiro, Brazil; Hospital BarraD'Or, Rio de Janeiro, BrazilClínica Peclat, Rio de Janeiro, Brazil; Hospital BarraD'Or, Rio de Janeiro, BrazilClínica Peclat, Rio de Janeiro, Brazil; Hospital BarraD'Or, Rio de Janeiro, BrazilClínica Peclat, Rio de Janeiro, Brazil; Hospital BarraD'Or, Rio de Janeiro, BrazilWe present the case of a 33-year-old patient with atypical pulmonary anatomy secondary to fibrosing mediastinitis who underwent pulmonary thrombectomy with the Lightning Flash aspiration catheter following a pulmonary embolism triggered by tibial osteomyelitis. Despite an inconclusive computed tomography angiography report, the diagnosis was made through clinical evaluation associated with electrocardiographic and echocardiographic changes. Angiography was crucial for diagnosis. The procedure was technically successful, resulting in immediate improvement in pulmonary artery systolic pressure and dyspnea. This case demonstrates the feasibility of aspiration thrombectomy in distorted anatomies and underscores the importance of early intervention in intermediate- to high-risk pulmonary embolism.http://www.sciencedirect.com/science/article/pii/S2468428724002569Pulmonary thrombectomyFibrosing mediastinitisLightning Flash |
| spellingShingle | Lucas Peclat, MD João Marcos Fonseca e Fonseca, MD Fernando Tebet Ramos Barreto, MD Rafael Peclat Ana Paula Rolim Maia Peclat, MD Julio Peclat, MD, PhD Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis Journal of Vascular Surgery Cases and Innovative Techniques Pulmonary thrombectomy Fibrosing mediastinitis Lightning Flash |
| title | Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis |
| title_full | Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis |
| title_fullStr | Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis |
| title_full_unstemmed | Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis |
| title_short | Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis |
| title_sort | pulmonary aspiration thrombectomy with lightning flash catheter in a young patient with fibrosing mediastinitis |
| topic | Pulmonary thrombectomy Fibrosing mediastinitis Lightning Flash |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002569 |
| work_keys_str_mv | AT lucaspeclatmd pulmonaryaspirationthrombectomywithlightningflashcatheterinayoungpatientwithfibrosingmediastinitis AT joaomarcosfonsecaefonsecamd pulmonaryaspirationthrombectomywithlightningflashcatheterinayoungpatientwithfibrosingmediastinitis AT fernandotebetramosbarretomd pulmonaryaspirationthrombectomywithlightningflashcatheterinayoungpatientwithfibrosingmediastinitis AT rafaelpeclat pulmonaryaspirationthrombectomywithlightningflashcatheterinayoungpatientwithfibrosingmediastinitis AT anapaularolimmaiapeclatmd pulmonaryaspirationthrombectomywithlightningflashcatheterinayoungpatientwithfibrosingmediastinitis AT juliopeclatmdphd pulmonaryaspirationthrombectomywithlightningflashcatheterinayoungpatientwithfibrosingmediastinitis |