Large-bore aspiration thrombectomy for the treatment of pulmonary embolism in octogenarians

dc.contributor.authorMasterson, Reid
dc.contributor.authorPebror, Travis
dc.contributor.authorGauger, Andrew
dc.contributor.authorSchmitz, Adam William
dc.contributor.authorButty, Sabah David
dc.contributor.departmentRadiology and Imaging Sciences, School of Medicine
dc.date.accessioned2025-02-17T17:13:52Z
dc.date.available2025-02-17T17:13:52Z
dc.date.issued2025-01-22
dc.description.abstractPurpose: To evaluate outcomes in patients aged ≥ 80 years following large-bore aspiration thrombectomy (LBAT) for the treatment of pulmonary embolism (PE). Materials and methods: All patients ≥ 80 years of age with PE treated via LBAT at a single center were analyzed from September 2019 - August 2024. This included the octogenarian subgroup from a recently published retrospective analysis assessing all PE patients treated with LBAT at our center between September 2019 and January 2023. The following outcomes were evaluated: technical success, change in several hemodynamic measures including pulmonary artery pressure (PAP) and right ventricle to left ventricle ratio (RV to LV ratio), length of hospital and intensive-care-unit (ICU) stay, procedure-related complications, and 7- and 30-day mortality. Results: Forty-eight patients aged ≥ 80 years underwent LBAT procedures for PE. Technical success was achieved in 46 cases (95.8%). The mean reduction in mean PAP was 3.6 mmHg. The mean reduction in RV to LV ratio was -0.42. The mean length of postprocedural hospital and ICU stays were 5.7 ± 3.6 days and 1.0 ± 1.6 days, respectively. There were 2 procedural complications, 1 pulmonary vascular injury involving a pulmonary artery pseudoaneurysm and 1 decompensation involving hypotension requiring vasopressor support. There were no major bleeding complications or cardiac injuries. All-cause mortality was 2.1% (n = 1) at 7 days and 6.3% (n = 3) at 30 days post procedure. PE-related mortality was 2.1% (n = 1) at 30 days. Conclusion: LBAT is a technically feasible procedure for the treatment of PE in octogenarian patients and has a favorable preliminary safety and mortality profile.
dc.eprint.versionFinal published version
dc.identifier.citationMasterson R, Pebror T, Gauger A, Schmitz AW, Butty SD. Large-bore aspiration thrombectomy for the treatment of pulmonary embolism in octogenarians. CVIR Endovasc. 2025;8(1):7. Published 2025 Jan 22. doi:10.1186/s42155-025-00517-2
dc.identifier.urihttps://hdl.handle.net/1805/45747
dc.language.isoen_US
dc.publisherSpringer
dc.relation.isversionof10.1186/s42155-025-00517-2
dc.relation.journalCVIR Endovascular
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.sourcePMC
dc.subjectOctogenarian
dc.subjectAdvanced age
dc.subjectPulmonary embolism
dc.subjectThrombectomy
dc.subjectReperfusion therapy
dc.titleLarge-bore aspiration thrombectomy for the treatment of pulmonary embolism in octogenarians
dc.typeArticle
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