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Successful Treatment of Right Heart Thrombus and High-Risk Pulmonary Embolism with Acoustic Pulse Thrombolysis Using EKOS Endovascular System
  • Cuneyd Ozturk,
  • Mert Dumantepe
Cuneyd Ozturk
Florence Nightingale Hospital
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Mert Dumantepe
Uskudar University
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Abstract

Currently, the only widely accepted indication for interventional treatment in cases of pulmonary embolism is hemodynamic instability or cardiogenic shock. However, the presence of a right-heart thrombus along with a pulmonary embolism is a poor prognostic indicator, and catheter-directed thrombolysis with the use of thrombolytic agents should also be considered in this circumstance. Optimal management of right heart thrombus and high-risk pulmonary embolism is still uncertain. Herein, we present the case of an 81-year-old woman who presented at our hospital after progressive dyspnea and a syncopal event. The transthoracic echocardiography showed massive bilateral pulmonary, right ventricular, and mobile atrial thrombus and also right-sided enlargement. The patient was successfully treated with acoustic pulse thrombolysis using the EKOS EkoSonic system and echocardiography revealed complete resolution of her right-heart thrombus and her high-risk pulmonary embolism 2 days later.

Peer review status:ACCEPTED

19 Mar 2021Submitted to Journal of Cardiac Surgery
19 Mar 2021Assigned to Editor
19 Mar 2021Submission Checks Completed
19 Mar 2021Reviewer(s) Assigned
26 Mar 2021Review(s) Completed, Editorial Evaluation Pending
26 Mar 2021Editorial Decision: Accept