Interv Akut Kardiol. 2023;22(4):189-193 | DOI: 10.36290/kar.2023.025

Acute pulmonary embolism - current options of catheter­‑directed treatment

Hana Voběrková, Viktor Kočka, Josef Kroupa
Kardiologická klinika, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha

Acute pulmonary embolism (PE) is a common and life-threatening condition with inappropriately high mortality rates. Catheter-directed treatment (CDT) for acute PE is a rapidly evolving field of interventional medicine and is already available in some specialized centers. The aim of this review article is to briefly introduce CDT for acute PE to a wider professional community, to provide information on its status in the light of current guidelines, and, last but not least, to outline possible further development in this field.

Keywords: acute pulmonary embolism, catheter­‑directed treatment, local thrombolysis, aspiration thrombectomy, percutaneous pulmonary intervention.

Received: July 3, 2023; Revised: August 18, 2023; Accepted: October 4, 2023; Published: November 28, 2023  Show citation

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Voběrková H, Kočka V, Kroupa J. Acute pulmonary embolism - current options of catheter­‑directed treatment. Interv Akut Kardiol. 2023;22(4):189-193. doi: 10.36290/kar.2023.025.
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References

  1. Konstantinides SV, Meyer G, Bueno H, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European respiratory society (ERS). Eur Heart J. 2020;41(4):543-603. doi:10.1093/eurheartj/ehz405. Go to original source... Go to PubMed...
  2. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: Clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet. 1999;353(9162):1386-1389. doi:10.1016/S0140-6736(98)07534-5. Go to original source... Go to PubMed...
  3. Becattini C, Agnelli G, Lankeit M, et al. Acute pulmonary embolism: Mortality prediction by the 2014 European Society of Cardiology risk stratification model. European Respiratory Journal. 2016;48(3):780-786. doi:10.1183/13993003.00024-2016. Go to original source... Go to PubMed...
  4. Stein PD, Matta F, Hughes PG, Hughes MJ. Nineteen­‑Year Trends in Mortality of Patients Hospitalized in the United States with High­‑Risk Pulmonary Embolism. Am J Med. 2021;134(10):1260-1264. doi:10.1016/j.amjmed.2021. 01. 026. Go to original source...
  5. Keller K, Hobohm L, Ebner M, et al. Trends in thrombolytic treatment and outcomes of acute pulmonary embolism in Germany. Eur Heart J. 2020;41(4):522-529. doi:10.1093/eurheartj/ehz236. Go to original source... Go to PubMed...
  6. Quiroz R, Kucher N, Schoepf UJ, et al. Right ventricular enlargement on chest computed tomography: Prognostic role in acute pulmonary embolism. Circulation. 2004;109(20):2401-2404. doi:10.1161/01.CIR.0000129302.90476.Bc. Go to original source... Go to PubMed...
  7. Pruszczyk P, Klok FK, Kucher N, et al. Percutaneous treatment options for acute pulmonary embolism: a clinical consensus statement by the ESC Working Group on Pulmonary Circulation and Right Ventricular Function and the European Association of Percutaneous Cardiovascular Interventions. EuroIntervention. 2022;18(8):e623-e638. doi:10.4244/EIJ­‑D-22-00246. Go to original source... Go to PubMed...
  8. Götzinger F, Lauder L, Sharp ASP, et al. Interventional therapies for pulmonary embolism. Nat Rev Cardiol. Published online May 12, 2023. doi:10.1038/s41569-023-00876-0. Go to original source... Go to PubMed...
  9. Kroupa J, Buk M, Weichet J, et al. A pilot randomised trial of catheter-directed thrombolysis or standard anticoagulation for patients with intermediate-high risk acute pulmonary embolism. EuroIntervention. Published online May 27, 2022. doi:10.4244/EIJ-D-21-01080. Go to original source... Go to PubMed...
  10. Avgerinos ED, Jaber W, Lacomis J, et al. Randomized Trial Comparing Standard Versus Ultrasound-Assisted Thrombolysis for Submassive Pulmonary Embolism: The SUNSET sPE Trial. Cardiovascular Interventions. 2021;14(12):1364-1373. doi:10.1016/J.JCIN.2021.04.049. Go to original source... Go to PubMed...
  11. Klok FA, Piazza G, Sharp ASP, et al. Ultrasound-facilitated, catheter-directed thrombolysis versus anticoagulation alone for acute intermediate-high-risk pulmonary embolism: Rationale and design of the HI-PEITHO study. Am Heart J. Published online May 16, 2022. doi:10.1016/J.AHJ.2022.05.011. Go to original source... Go to PubMed...
  12. Planer D, Yanko S, Matok I, et al. Catheter-directed thrombolysis compared with systemic thrombolysis and anticoagulation in patients with intermediate- or high-risk pulmonary embolism: systematic review and network meta-analysis. Can Med Assoc J. 2023;195(24):E833-E843. doi:10.1503/cmaj.220960. Go to original source... Go to PubMed...
  13. Jiménez D, Bikdeli B, Quezada A, et al. Hospital volume and outcomes for acute pulmonary embolism: Multinational population based cohort study. The BMJ. 2019;366. doi:10.1136/BMJ.L4416. Go to original source... Go to PubMed...




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