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As surgical thrombectomy carries a high burden of morbidity and mortality, endovascular interventions are becoming more common in these clinical scenarios. We report a case of a neurosurgical patient whose postoperative course was complicated by massive PE and subsequent cardiac arrest that required emergent venoarterial extracorporeal membrane oxygenation, followed by aspiration thrombectomy with the Inari FlowTriever Device (Inari Medical). The patient had immediate hemodynamic improvement with eventual recovery to baseline functional status.<\/jats:p>","DOI":"10.1002\/ccd.30329","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T08:42:29Z","timestamp":1657269749000},"page":"705-709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["VA\u2010ECMO\u2010assisted aspiration thrombectomy in a patient presenting with acute massive PE with absolute contraindications to thrombolytics"],"prefix":"10.1002","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4421-2999","authenticated-orcid":false,"given":"Mit","family":"Patel","sequence":"first","affiliation":[{"name":"Loyola University Medical Center Maywood Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Mujer","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center Maywood Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"John","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center Maywood Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Darki","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center Maywood Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2018.12.013"},{"issue":"3","key":"e_1_2_6_3_1","first-page":"446","article-title":"Incidence of symptomatic venous thromboembolism after different elective or urgent surgical procedures","volume":"90","author":"White RH","year":"2003","journal-title":"Thromb Haemost"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-0656"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2013-04-497545"},{"issue":"23","key":"e_1_2_6_6_1","first-page":"9","article-title":"Risk factors for venous thromboembolism","volume":"107","author":"Anderson FA","year":"2003","journal-title":"Circulation"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0897190018767769"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.ra.19-00158"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.12.003"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2020.04.033"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29246"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2019.05.024"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10153376"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz726"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.13571"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2021.08.066"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.30329","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T09:28:28Z","timestamp":1692696508000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.30329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,8]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1002\/ccd.30329"],"URL":"https:\/\/doi.org\/10.1002\/ccd.30329","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,8]]},"assertion":[{"value":"2022-03-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}