| A Case of Acute Pulmonary Thromboembolism
Treated by Surgical Thrombectomy with a 20 Fr Argyle® Thoracic
Catheter |
(Cardiovascular Surgery, Nagano Red Cross Hospital,
Nagano, Japan)
| Takehiko Furusawa |
Kazunori Nishimura |
Nobuyuki Yanagiya |
|
We describe a case where a thrombus
was effectively removed with a 20Fr argyle® thoracic catheter
(Nippon Sherwood Medical Industries Ltd.) and the life of the
patient was saved by thrombectory for an acute pulmonary thromboembolism.
The patient was a 43-year-old woman. Emergency operation was
indicated by a severe acute pulmonary thromboembolism and intracardiac
floating thrombi afte an orthopedic surgery. A 20Fr thoracic
catheter connected to a cleaning type intraoperative blood salvage
device was used to remove thrombi in a pulmonary artery and a
good result was obtained. The advantages of this catheter include:
1) suitable hardness; 2) a protective round tip; 3) an aperture
at the tip for the suction of small or crushabe thrombi and the
removal of thrombi having a certain level of hardness with the
shape intact; and 4) adjustable flexion of the catheter to easily
detect a peripheral pulmonary artery. However, care should be
taken when using the catheter to avoid damage to pulmonary artery
walls.
Jpn. J. Cardiovasc. Surg. 34: 107-110 (2005) |
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