Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis

IF 0.7 Q4 SURGERY Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-02-01 DOI:10.1016/j.jvscit.2024.101672

Lucas Peclat MD , João Marcos Fonseca e Fonseca MD , Fernando Tebet Ramos Barreto MD , Rafael Peclat , Ana Paula Rolim Maia Peclat MD , Julio Peclat MD, PhD

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Abstract

We present the case of a 33-year-old patient with atypical pulmonary anatomy secondary to fibrosing mediastinitis who underwent pulmonary thrombectomy with the Lightning Flash aspiration catheter following a pulmonary embolism triggered by tibial osteomyelitis. Despite an inconclusive computed tomography angiography report, the diagnosis was made through clinical evaluation associated with electrocardiographic and echocardiographic changes. Angiography was crucial for diagnosis. The procedure was technically successful, resulting in immediate improvement in pulmonary artery systolic pressure and dyspnea. This case demonstrates the feasibility of aspiration thrombectomy in distorted anatomies and underscores the importance of early intervention in intermediate- to high-risk pulmonary embolism.

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闪电导管肺吸入性取栓术治疗纤维化性纵隔炎1例。

我们报告一例33岁的患者，其继发于纤维化性纵隔炎的肺解剖不典型，在胫骨骨髓炎引发肺栓塞后，他接受了闪电吸入导管的肺血栓切除术。尽管计算机断层血管造影报告不确定，但通过与心电图和超声心动图变化相关的临床评估进行了诊断。血管造影对诊断至关重要。手术在技术上是成功的，肺动脉收缩压和呼吸困难立即得到改善。本病例证明了畸形解剖下吸入性取栓的可行性，并强调了早期干预中高风险肺栓塞的重要性。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.