Work

Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis

Year: 2024

Type: article

Abstract: 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.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2024.101672

Authors: Lucas Peclat, João Marcos Fonseca e Fonseca, Fernando Tebet Ramos Barreto, Rafael Peclat, Ana Paula Rolim Maia Peclat, Julio Peclat

Institutions: D’Or Institute for Research and Education, Universidade Federal do Estado do Rio de Janeiro

Language: English

Topic: Venous Thromboembolism Diagnosis and Management

Subfield: Internal Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250