USE OF RHEOLYTIC THROMBECTOMY IN MASSIVE PULMONARY EMBOLISM

Abstract. We report the use of rheolytic thombectomy in two patients with severe pulmonary embolism. In first case RT was performed as the second step in treatment of pulmonary embolism after systemic thrombolytic therapy. In second case systemic thrombolytic therapy was not performed because of extremely high risk of duodenal ulcer bleeding. Hemolysis and acute kidney injure with requirement of plasmapheresis and continuous venovenous hemofiltration was required in patient who received big volume of thrombectomy (500 ml). Rheolytic thrombectomy resulted in good angiographic and clinical effect in both patients