Successful aspiration thrombectomy in a patient with submassive, intermediate-risk pulmonary embolism following COVID-19 pneumonia

Julian Pohlan, MD; Sarah Nadine Kamel, MD; Giovanni Federico Torsello, MD; Daniel Zickler, MD; Jan Matthias Kruse, MD; Kai-Uwe Eckardt, MD; Bernard Gebauer, MD

Radiology Case Reports (Oct 2020)

Successful aspiration thrombectomy in a patient with submassive, intermediate-risk pulmonary embolism following COVID-19 pneumonia

Julian Pohlan, MD,
Sarah Nadine Kamel, MD,
Giovanni Federico Torsello, MD,
Daniel Zickler, MD,
Jan Matthias Kruse, MD,
Kai-Uwe Eckardt, MD,
Bernard Gebauer, MD

Affiliations

Julian Pohlan, MD: Department of Diagnostic and Interventional radiology, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany; Corresponding author.
Sarah Nadine Kamel, MD: Department of Nephrology and Medical Intensive Care, Charité – Universitätsmedizin Berlin, Berlin, Germany
Giovanni Federico Torsello, MD: Department of Diagnostic and Interventional radiology, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany
Daniel Zickler, MD: Department of Nephrology and Medical Intensive Care, Charité – Universitätsmedizin Berlin, Berlin, Germany
Jan Matthias Kruse, MD: Department of Nephrology and Medical Intensive Care, Charité – Universitätsmedizin Berlin, Berlin, Germany
Kai-Uwe Eckardt, MD: Department of Nephrology and Medical Intensive Care, Charité – Universitätsmedizin Berlin, Berlin, Germany
Bernard Gebauer, MD: Department of Diagnostic and Interventional radiology, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany

Journal volume & issue: Vol. 15, no. 10
pp. 1764 – 1768

Abstract

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A 64-year-old female patient presented with severe dyspnea shortly after apparent recovery from COVID-19 disease. Chest computed tomography revealed central pulmonary embolism and ultrasonography showed a deep vein thrombosis of her right leg. The patient was tachycardiac with evidence of right ventricular strain on echocardiography. An interdisciplinary decision for interventional therapy was made.Angiographic aspiration thrombectomy resulted in a significant reduction of thrombus material and improved flow in the pulmonary arteries and immediate marked clinical improvement and subsequent normalization of functional echocardiographic parameters.This case adds to the emerging evidence for severe thromboembolic complications following COVID-19 and suggests aspiration thrombectomy can be considered in pulmonary embolism of intermediate risk.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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