Abstract
To achieve more effective thrombolysis in a shorter treatment time, percutaneous mechanical thrombectomy has been increasingly used in the treatment of deep venous thrombosis (DVT). The power-pulse spray is a new technique to combine chemical and rheolytic effects on clots. We present a case of presumed pulmonary embolism following power-pulse spray treatment for upper extremity DVT which necessitated resuscitation and intubation. The power-pulse spray technique should be used with caution when treating DVT.
Similar content being viewed by others
References
Augustinos P, Ouriel K (2004) Invasive approaches to treatment of venous thromboembolism. Circulation 110(Suppl 1):I27–I34
Laiho M, et al. (2004) Preservation of venous valve function after catheter-directed and systemic thrombolysis for deep venous thrombosis. Eur J Vasc Endovasc Surg 28:391
Mewissen MW, et al. (1999) Catheter-directed thrombolysis for lower extremity deep venous thrombosis: Report of a national multicenter registry. Radiology 211:39–49
Cooper SG (2003) Pulse-spray thrombolysis of thrombosed hemodialysis grafts with tissue plasminogen activator. AJR Am J Roentgenol 180:1063–1066
Kasirajan K, Gray B, Ouriel K (2001) Percutaneous AngioJet thrombectomy in the management of extensive deep venous thrombosis. J Vasc Interv Radiol 12:179–185
Sharafuddin M, et al. (1997) Rheolytic thrombectomy with use of the AngioJet-F105 catheter: Preclinical evaluation of safety. J Vasc Interv Radiol 8:939–945
Allie D, et al. (2004) Novel simultaneous combination chemical thrombolysis/rheolytic thrombectomy therapy for acute critical limb ischemia: The power-pulse spray technique. Catheter Cardiovasc Interv 63:512–522
Kinney TB, et al. (2004) Pulmonary embolism from pulse-spray pharmacomechanical thrombolysis of clotted hemodialysis grafts: Urokinase versus heparinized saline. J Vasc Interv Radiol 11:1143–1152
Trerotola S, et al. (1996) Pulmonary emboli from pulse-spray and mechanical thrombolysis: Evaluation with an animal dialysis-graft model. Radiology 200:169–176
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tsai, J., Georgiades, C.S., Hong, K. et al. Presumed Pulmonary Embolism Following Power-Pulse Spray Thrombectomy of Upper Extremity Venous Thrombosis. Cardiovasc Intervent Radiol 29, 678–680 (2006). https://doi.org/10.1007/s00270-005-0086-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-005-0086-0