8 F Catheter Percutaneous Mechanical Thrombectomy Plus Anticoagulation Versus Anticoagulation Alone in Intermediate‐High Risk Acute Pulmonary Embolism: A Multicenter Real‐World Study on Long‐Term Complications, Right Heart Function, and Quality of Li
In patients with intermediate-high risk acute PE, 8 F catheter PMT combined with anticoagulation significantly reduces the risks of PTS and CTEPH, enhances right ventricular recovery, and improves quality of life, without increasing adverse events. These compelling real-world findings challenge the current guideline positioning (e.g., 2022 ESC, 2024 AHA) that classifies PMT as a class IIb rescue therapy and strongly support its consideration as a first-line treatment strategy for this patient population.
Authors
- Chunhua Du (ORCID: https://orcid.org/0000-0002-6889-4317)
- Peng Yuan (ORCID: https://orcid.org/0000-0002-5968-0368)
- Suwen Shen (ORCID: https://orcid.org/0000-0003-4174-6290)
- Jun Zhu (ORCID: https://orcid.org/0000-0003-1824-7610)
- Fuan Wang (ORCID: https://orcid.org/0000-0002-3063-2485)
- Xianchen Huang
- Rongfeng Shi (ORCID: https://orcid.org/0000-0001-6686-7342)
- Jianhua Fu (ORCID: https://orcid.org/0000-0002-8451-3705)
- Xu He
- Tongqing Xue (ORCID: https://orcid.org/0000-0003-0160-4298)
- Jian Huang (ORCID: https://orcid.org/0000-0003-3504-6319)
- Fei Wang (ORCID: https://orcid.org/0009-0000-4025-4396)
- Feiyang Chen
Institutions
- Jiangsu University (CN)
- Xuzhou Medical College (CN)
- Nantong University (CN)
- Soochow University (CN)
- Affiliated Hospital of Nantong University (CN)
- Nanjing Traditional Chinese Medicine Hospital (CN)
- Zhongda Hospital Southeast University (CN)
- Affiliated Hospital of Jiangsu University (CN)
- Suzhou Municipal Hospital (CN)
- Yancheng First People's Hospital (CN)
- Second People’s Hospital of Huai’an (CN)
- Yancheng Third People's Hospital (CN)
- Northern Jiangsu People's Hospital (CN)
- Zhenjiang City Fourth People's Hospital (CN)
- Jiangsu Province Hospital (CN)
- Yangzhou University (CN)
- Nanjing Medical University (CN)
Publication Details
- Journal
- Catheterization and Cardiovascular Interventions
- Published
- 2025-12-07
- DOI
- https://doi.org/10.1002/ccd.70403
- Primary Topic
- Venous Thromboembolism Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00