Abstract
A patient with a pulmonary embolism due to deep vein thrombosis of a lower extremity developed hypotension and cor pulmonale despite prior placement of an inferior vena caval filter and treatment with a thrombolytic agent. After failure of percutaneous guidewire fragmentation and thrombosuction, self-expandable bilateral Z stents were positioned into the lower branches through the pulmonary arterial trunks. The patient experienced immediate relief of her cor pulmonale and successful recovery from hypotesnion.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ferretti G, Boutelant M, Thony F, Carpentier F, Guignier M (1995) Successful stenting of a pulmonary arterial stenosis after a single lung transplant. Thorax 50 (9):1011–1012
O’Laughlin MP, Slack MC, Grifka RG, Perry SB, Lock JE, Mullins CE (1993) Implantation and intermediate-term follow-up of stents in congenital heart disease. Circulation 88:605–614
Verstraete M, Miller GAH, Bounameaux H, Charbonnier B, Colle JP, Lecorf G, Marbet GA, Mombaerts P, Olsson CG (1988) Intravenous and intrapulmonary recombinant tissue-type plasminogen activator in the treatment of acute massive pulmonary embolism. Circulation 77 (2):353–360
Uflacker R, Strange C, Vujic I (1996) Massive pulmonary embolism: Preliminary results of treatment with the Amplatz thrombectomy device. J Vasc Interv Radiol 7:519–528
Greenfield LJ, Zocco JJ (1979) Intraluminal management of massive pulmonary embolism. J Thorac Cardiovasc Surg 77:402–410
Meyer G, Tamisier D, Sors H, Stern M, Vouhe P, Makowski S, Neveux JY, Leca F, Even P (1991) Pulmonary embolectomy: A 20-year experience at one center. Ann Thorac Surg 51:232–236
Haskal ZJ, Soulen MC, Huettle EA, Palevsky HI, Cope C (1994) Life-threatening pulmonary emboli and cor pulmonale: Treatment with percutaneous pulmonary artery stent placement. Radiology 191:473–475
Neville RF, Bartorelli AL, Sidawy AN, Leon MB (1994) Vascular stent deployment in vein bypass grafts: Obstructions in an animal model. Surgery 116:55–61
Saeed M, Knowies HJ, Brems JJ, Takiff H (1993) Percutaneous retrieval of a large Palmaz stent from the pulmonary artery. J Vasc Interv Radiol 4:811–814
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Koizumi, J., Kusano, S., Akima, T. et al. Emergent Z stent placement for treatment of cor pulmonale due to pulmonary emboli after failed lytic treatment: Technical considerations. Cardiovasc Intervent Radiol 21, 254–255 (1998). https://doi.org/10.1007/s002709900257
Issue Date:
DOI: https://doi.org/10.1007/s002709900257