Advances in the treatment of pulmonary embolism at University Hospital Centre Rijeka

    Authors

    Keywords

    intermediate-high-risk pulmonary thromboembolism, emergency condition

    DOI

    https://doi.org/10.15836/ccar2024.27

    Full Text

    **Introduction**: The most common type of pulmonary embolism (PE) is a thrombus that typically originates from the venous system of the lower extremities. Once released into the venous circulation, clots often extend to both pulmonary lobes. Most thrombi collect in larger or medium-sized pulmonary arteries, while the rest may lodge in smaller arterial branches. Fat emboli, which can occur after fractures, represent rare causes of PE. These emboli typically affect pulmonary microcirculation, including arterioles and capillaries, and can lead to the development of acute respiratory distress syndrome in adults. (1) **Case report**: We present a case report of a 67-year-old male patient who presented to the University Hospital Centre Rijeka with breathing difficulties. The patient was confirmed to have intermediate-high-risk pulmonary thromboembolism through CT pulmonary angiography. The Indigo System Lightning 12 PE is the latest system used for clot removal from pulmonary arteries in the interventional cardiology unit. (2) The placement of the Indigo System Lightning 12 PE is used as an emergency treatment for PE. **Conclusion**: The Indigo System, in combination with its aspiration system, has shown excellent results in treating PTE.

    Literature

    1. Essien EO, Rali P, Mathai SC. Pulmonary Embolism. Med Clin North Am. 2019 May;103(3):549–64. https://doi.org/10.1016/j.mcna.2018.12.013
    2. Penumbra. Indigo System Lightning. (September 20, 2023). https://www.penumbrainc.com/products/peripheral-thrombectomy-indigo-system/
    Cardiologia Croatica
    Back to search

    Advances in the treatment of pulmonary embolism at University Hospital Centre Rijeka

    Extended Abstract
    Issue1-2
    Published
    Pages27
    PDF via DOIhttps://doi.org/10.15836/ccar2024.27
    intermediate-high-risk pulmonary thromboembolism
    emergency condition

    Authors

    Lea Saftić*ORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia
    Katarina MatkovićORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia
    Marko GatarićORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia
    Nikica PrpićORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia
    Ivan ŠragaljORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia

    *Correspondence email: leasaftic@icloud.com

    Full Text

    Introduction: The most common type of pulmonary embolism (PE) is a thrombus that typically originates from the venous system of the lower extremities. Once released into the venous circulation, clots often extend to both pulmonary lobes. Most thrombi collect in larger or medium-sized pulmonary arteries, while the rest may lodge in smaller arterial branches. Fat emboli, which can occur after fractures, represent rare causes of PE. These emboli typically affect pulmonary microcirculation, including arterioles and capillaries, and can lead to the development of acute respiratory distress syndrome in adults. (1)

    Case report: We present a case report of a 67-year-old male patient who presented to the University Hospital Centre Rijeka with breathing difficulties. The patient was confirmed to have intermediate-high-risk pulmonary thromboembolism through CT pulmonary angiography. The Indigo System Lightning 12 PE is the latest system used for clot removal from pulmonary arteries in the interventional cardiology unit. (2) The placement of the Indigo System Lightning 12 PE is used as an emergency treatment for PE.

    Conclusion: The Indigo System, in combination with its aspiration system, has shown excellent results in treating PTE.

    Literature

    1. 1.
      Essien EO, Rali P, Mathai SC. Pulmonary Embolism. Med Clin North Am. 2019 May;103(3):549–64.DOI
    2. 2.
      Penumbra. Indigo System Lightning. (September 20, 2023).Link