Journal of Vascular and Interventional Radiology
Volume 19, Issue 3 , Pages 372-376 , March 2008

Catheter-directed Thrombolysis with the Endowave System in the Treatment of Acute Massive Pulmonary Embolism: A Retrospective Multicenter Case Series

  • Abbas Chamsuddin, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Emory University Hospital, 1364 Clifton Rd, Atlanta, GA 30345
    • Corresponding Author InformationAddress correspondence to A.C.
  • ,
  • Lama Nazzal, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Emory University Hospital, 1364 Clifton Rd, Atlanta, GA 30345
  • ,
  • Brandon Kang, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Emory University Hospital, 1364 Clifton Rd, Atlanta, GA 30345
  • ,
  • Irwin Best, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Emory University Hospital, 1364 Clifton Rd, Atlanta, GA 30345
  • ,
  • Gail Peters, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Emory University Hospital, 1364 Clifton Rd, Atlanta, GA 30345
  • ,
  • Sepehr Panah, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Grady Memorial Hospital, Atlanta, GA
  • ,
  • Louis Martin, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Emory University Hospital, 1364 Clifton Rd, Atlanta, GA 30345
  • ,
  • Curtis Lewis, MD, MBA, JD

      Affiliations

    • Department of Vascular and Interventional Radiology, Grady Memorial Hospital, Atlanta, GA
  • ,
  • Chadi Zeinati, MD

      Affiliations

    • Department of Vascular and Interventional Radiology, Emory University Hospital, 1364 Clifton Rd, Atlanta, GA 30345
  • ,
  • John W. Ho, MD

      Affiliations

    • Department of Interventional and Vascular Radiology, Swedish Medical Center, Seattle, Wash
  • ,
  • Anthony C. Venbrux, MD

      Affiliations

    • Department of Cardiovascular and Interventional Radiology, George Washington University Medical Center, Washington, DC.

Received 4 May 2007 ,Revised 11 October 2007 ,Accepted 13 October 2007.

References 

  1. Ryu JH, Olson EJ, Pellikka PA. Clinical recognition of pulmonary embolism: problem of unrecognized and asymptomatic cases. Mayo Clin Proc. 1998;73:873–879
  2. Ferris EJ, George W. Holmes lecture: deep venous thrombosis and pulmonary embolism—correlative evaluation and therapeutic implications. AJR Am J Roentgenol. 1992;159:1149–1155
  3. Dalen JE, Alper JS. Natural history of pulmonary embolism. Prog Cardiovasc Dis. 1975;17:259–270
  4. Dalen JE. Pulmonary embolism: what have we learned since Virchow? (natural history, pathophysiology, and diagnosis). Chest. 2002;122:1440–1456
  5. Horlander KT, Mannino DM, Leeper KV. Pulmonary embolism mortality in the United States, 1979–1998: an analysis using multiple-cause mortality data. Arch Intern Med. 2003;163:1711–1717
  6. Uflacker R. Interventional therapy for pulmonary embolism. J Vasc Interv Radiol. 2001;12:147–164
  7. Barrit DW, Jordan SC. Anticoagulant drugs in the treatment of pulmonary embolism: a controlled trial. Lancet. 1960;1:1309
  8. Hull RD, Raskob GE, Brant RF, et al. American-Canadian Thrombosis Study Group Low-molecular-weight heparin vs heparin in the treatment of patients with pulmonary embolism. Arch Intern Med. 2000;160:229–236
  9. Eriksson BI, Bauer KA, Lassen MR, Turpie AG Steering Committee of the Pentasaccharide in Major Knee Surgery Study. Fondaparinux compared with enoxaparin for the prevention of venous thromboembolism after elective major knee surgery. N Engl J Med. 2001;345:1305–1310
  10. Konstantinides S, Geibel A, Olschewski M, et al. Association between thrombolytic treatment and the prognosis of hemodynamically stable patients with major pulmonary embolism: results of a multicenter registry. Circulation. 1997;96:882–888
  11. Jerjes-Sanchez C, Ramirez-Rivera A, de Lourdes Garcia M, et al. Streptokinase and heparin versus heparin alone in massive pulmonary embolism: a randomized controlled trial. J Thromb Thrombolysis. 1995;2:227–229
  12. The urokinase pulmonary embolism trial: a national cooperative study. Circulation. 1973;47(2 suppl):II1–II108
  13. Konstantinides S, Geibel A, Heusel G, Heinrich F, Kasper W Management Strategies and Prognosis of Pulmonary Embolism-3 Trial Investigators. Heparin plus alteplase compared with heparin alone in patients with submassive pulmonary embolism. N Engl J Med. 2002;347:1143–1150
  14. Thabut G, Thabut D, Myers RP, et al. Thrombolytic therapy of pulmonary embolism: a meta-analysis. J Am Coll Cardiol. 2002;40:1660–1667
  15. Meneveau N, Seronde MF, Blonde MC, et al. Management of unsuccessful thrombolysis in acute massive pulmonary embolism. Chest. 2006;129:1043–1050
  16. Ullmann M, Hemmer W, Hannekum A. The urgent pulmonary embolectomy: mechanical resuscitation in the operating theatre determines the outcome. Thorac Cardiovasc Surg. 1999;47:5–8
  17. Murphy KD. Mechanical thrombectomy for DVT. Tech Vasc Interv Radiol. 2004;7:79–85
  18. Braaten JV, Goss RA, Francis CW. Ultrasound reversibly disaggregates fibrin fibers. Thromb Haemost. 1997;78:1063–1068
  19. Mahon BR, Nesbit GM, Barnwell SL, et al. North American clinical experience with the EKOS MicroLysUS infusion catheter for the treatment of embolic stroke. AJNR Am J Neuroradiol. 2003;24:534–538
  20. White HD, Van de Werf FJ. Thrombolysis for acute myocardial infarction. Circulation. 1998;97:1632–1646
  21. Augustinos P, Ouriel K. Invasive approaches to treatment of venous thromboembolism. Circulation. 2004;110:I27–I34
  22. Kelly P, Carroll N, Grant C, Barrett C, Kocka V. Successful treatment of massive pulmonary embolism with prolonged catheter-directed thrombolysis. Heart Vessels. 2006;21:124–126
  23. McCotter CJ, Chiang KS, Fearrington EL. Intrapulmonary artery infusion of urokinase for treatment of massive pulmonary embolism: a review of 26 patients with and without contraindications to systemic thrombolytic therapy. Clin Cardiol. 1999;22:661–664
  24. Blinc A, Francis CW, Trudnowski JL, Carstensen EL. Characterization of ultrasound potentiated fibrinolysis in vitro. Blood. 1993;81:2636–2643
  25. Francis CW, Blinc A, Lee S, Cox C. Ultrasound accelerates transport of recombinant tissue plasminogen activator into clots. Ultrasound Med Biol. 1995;21:419–424
  26. Trerotola SO, McLennan G, Davidson D, et al. Preclinical in vivo testing of the Arrow-Trerotola percutaneous thrombolytic device for venous thrombosis. J Vasc Interv Radiol. 2001;12:95–103
  27. Sharafuddin MJ, Hicks ME, Jenson ML, Morris JE, Drasler WJ, Wilson GJ. Rheolytic thrombectomy with use of the AngioJet-F105 catheter: preclinical evaluation of safety. J Vasc Interv Radiol. 1997;8:939–945
  28. Gu X, Sharafuddin MJ, Titus JL, et al. Acute and delayed outcomes of mechanical thrombectomy with use of the steerable Amplatz thrombectomy device in a model of subacute inferior vena cava thrombosis. J Vasc Interv Radiol. 1997;8:947–956
  29. Mewissen MW, Seabrook GR, Meissner MH, Cynamon J, Labropoulos N, Haughton SH. Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology. 1999;211:39–49
  30. Bjarnason H, Kruse JR, Asinger DA, et al. Iliofemoral deep venous thrombosis: safety and efficacy outcome during 5 years of catheter-directed thrombolytic therapy. J Vasc Interv Radiol. 1997;8:405–418
  31. Semba CP, Bakal CW, Calis KA, et al. Alteplase as an alternative to urokinase: advisory panel on catheter-directed thrombolytic therapy. J Vasc Interv Radiol. 2000;11:279–287

PII: S1051-0443(07)01376-0

doi: 10.1016/j.jvir.2007.10.019

Journal of Vascular and Interventional Radiology
Volume 19, Issue 3 , Pages 372-376 , March 2008