When Size Matters: Advanced Treatment of Acute Pulmonary Embolism Caused by a Large Snake‐Like Thrombus
A 56-year-old female patient presented with pulmonary embolism-related obstructive shock complicated by cardiac arrest. Computed tomography revealed a large snake-like thrombus. After unsuccessful imaging-guided transcatheter aspiration, targeting one end of the thrombus, surgical embolectomy was effective in removing a 48 cm single thrombus. A thorough evaluation of pre-procedural images could help determine the best treatment strategy and should be an essential part of the multidisciplinary decision-making process.
Authors
- Carlo Vigna (ORCID: https://orcid.org/0000-0003-4151-705X)
- Alessandro Russo (ORCID: https://orcid.org/0000-0002-3365-1972)
- Nicola Marchese (ORCID: https://orcid.org/0000-0002-9216-5907)
- Mauro Cassese
Institutions
- Casa Sollievo della Sofferenza (IT)
Publication Details
- Journal
- Catheterization and Cardiovascular Interventions
- Published
- 2026-07-01
- DOI
- https://doi.org/10.1002/ccd.70713
- Primary Topic
- Venous Thromboembolism Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00