Mechanical thrombectomy for pulmonary embolism revisited: technological breakthrough or simple renovation?

EuroIntervention 2023;18:1133-1134. DOI: 10.4244/EIJ-E-22-00058

Tobias Rheude
Tobias Rheude1, MD; Sebastian Kufner1, MD
1. Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Munich, Germany
Pulmonary embolism (PE) represents the third most frequent cardiovascular cause of death on a global scale, with a slight increase in incidence rates over time1. Current guidelines recommend reperfusion therapy in haemodynamically unstable patients and for those suffering from haemodynamic deterioration despite adequate anticoagulation2. In this regard, systemic thrombolysis has, until recently, been recommended as the first-line treatment of choice23. However, despite being highly effective, its application entails a significantly elevated bleeding risk, with a 9.9% rate of severe bleedings and a 1.7% rate of intracranial haemorrhage4. Therefore, a considerable number of patients do not receive ...

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