Pulmonary thrombectomy

Pulmonary Thrombectomy is a medical procedure that involves the removal of a thrombus (blood clot) from the pulmonary artery. This procedure is typically performed in patients suffering from pulmonary embolism, a condition characterized by the sudden blockage of a lung artery.

Indications

Pulmonary thrombectomy is indicated in patients with acute, massive pulmonary embolism who are hemodynamically unstable and have contraindications to thrombolytic therapy, or in whom thrombolytic therapy has failed. It may also be considered in patients with submassive pulmonary embolism who are deteriorating despite anticoagulation.

Procedure

The procedure is performed under general anesthesia. A catheter is inserted into the femoral vein and guided to the pulmonary artery using fluoroscopy. The thrombus is then removed using a device designed to capture and extract the clot.

Risks and Complications

As with any surgical procedure, pulmonary thrombectomy carries risks, including bleeding, infection, and damage to the blood vessels. There is also a risk of reperfusion injury, which can lead to pulmonary edema and respiratory failure.

Post-Procedure Care

After the procedure, patients are typically monitored in the intensive care unit. Anticoagulation is usually resumed to prevent further clot formation. Patients may also require supplemental oxygen or mechanical ventilation if they have significant lung damage.

See Also

• Pulmonary Embolism
• Thrombus
• Thrombolytic Therapy
• Anticoagulation
• Reperfusion Injury

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