A Novel Case of Cardiac Tamponade after Percutaneous Pulmonary Embolectomy Using the FlowTriever Retrieval/Aspiration System

  • Mian Tanveer Ud Din Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA
  • Deeksha Ramanujam Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA
  • Adeel Nasrullah Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA, USA
  • Obaid Ashraf Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA, USA
  • Varun Chalasani Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA
  • Tiffany Dumont Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA, USA
DOI: https://doi.org/10.12890/2022_003522

Keywords

Cardiac tamponade, percutaneous pulmonary embolectomy, FlowTriever retrieval/aspiration system, micro-perforation

Abstract

Introduction: Percutaneous embolectomy using the percutaneous large-bore aspiration embolectomy FlowTriever system (INARI Medical, Irvine, CA, USA) is a promising method for reducing high clot burden in patients with intermediate- to high-risk pulmonary embolism (PE).

Case Description: A 45-year-old woman with intermediate- to high-risk PE underwent percutaneous intervention using the FlowTriever retrieval/aspiration system. After the procedure, she experienced several cardiac arrests from pericardial tamponade and required pericardiocentesis, leading to haemodynamic stabilization.

Discussion: To our knowledge, this is the first documented case of the use of the FlowTriever system causing micro-perforation of the right ventricle, resulting in tamponade and cardiac arrest.

Conclusion: Percutaneous embolectomy has shown promise results in reducing clot burden and improving haemodynamic stability but has risks and limitations and requires specialized knowledge and training. In addition, more data are required from centres using the FlowTriever system to ensure adequate training and safety.

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    • Published: 2022-08-26

    Issue: 2022: Vol 9 No 8 (view)

    Section: Articles

    How to cite:
    1.
    Tanveer Ud Din M, Ramanujam D, Nasrullah A, Ashraf O, Chalasani V, Dumont T. A Novel Case of Cardiac Tamponade after Percutaneous Pulmonary Embolectomy Using the FlowTriever Retrieval/Aspiration System. EJCRIM 2022;9 doi:10.12890/2022_003522.