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  • Title: Acute-on-chronic massive pulmonary embolism treated with 3-loop snare.
    Author: Hsu JT, Nakamura S, Yamamoto R, Kobayashi T, Funatsu A, Enjoji Y, Mizobuchi M, Hori M, Miyamoto C.
    Journal: Circ J; 2008 Nov; 72(11):1909-13. PubMed ID: 18787293.
    Abstract:
    A 70-year-old man presented with acute massive pulmonary embolism (PE). His clinical condition deteriorated despite regular heparin and thrombolytic agent treatment, and he eventually developed cardiogenic shock. A thrombus originating from the inferior vena cava was detected and acute-on-chronic embolization resulted, with an unusual clinical course. Aggressive catheter thrombectomy with pigtail rotation failed to fragment the organized thrombus, but it was successfully removed by a 3-loop snare device combined with guiding catheter under percutaneous cardiopulmonary support.
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