{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:06:31Z","timestamp":1755907591124,"version":"3.44.0"},"reference-count":9,"publisher":"SMC Media","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Percutaneous embolectomy using the percutaneous large-bore aspiration embolectomy FlowTriever system (INARI Medical, Irvine, CA, USA) is a promising method for reducing high clot burden in patients with intermediate- to high-risk pulmonary embolism (PE). Case Description: A 45-year-old woman with intermediate- to high-risk PE underwent percutaneous intervention using the FlowTriever retrieval\/aspiration system. After the procedure, she experienced several cardiac arrests from pericardial tamponade and required pericardiocentesis, leading to haemodynamic stabilization. Discussion: To our knowledge, this is the first documented case of the use of the FlowTriever system causing micro-perforation of the right ventricle, resulting in tamponade and cardiac arrest. Conclusion: Percutaneous embolectomy has shown promise results in reducing clot burden and improving haemodynamic stability but has risks and limitations and requires specialized knowledge and training. In addition, more data are required from centres using the FlowTriever system to ensure adequate training and safety.<\/jats:p>","DOI":"10.12890\/2022_003522","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T04:09:22Z","timestamp":1661746162000},"source":"Crossref","is-referenced-by-count":2,"title":["A Novel Case of Cardiac Tamponade after Percutaneous Pulmonary Embolectomy Using the FlowTriever Retrieval\/Aspiration System"],"prefix":"10.12890","volume":"9","author":[{"given":"Mian","family":"Tanveer Ud Din","sequence":"first","affiliation":[{"name":"Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deeksha","family":"Ramanujam","sequence":"first","affiliation":[{"name":"Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adeel","family":"Nasrullah","sequence":"first","affiliation":[{"name":"Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obaid","family":"Ashraf","sequence":"first","affiliation":[{"name":"Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varun","family":"Chalasani","sequence":"first","affiliation":[{"name":"Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany","family":"Dumont","sequence":"first","affiliation":[{"name":"Division of Pulmonology and Critical Care, Allegheny Health Network, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"10.12890\/2022_003522_ref1","doi-asserted-by":"crossref","unstructured":"<li>Maturana MA, Seitz MP, Pour-Ghaz I, Ibebuogu UN, Khouzam RN. Invasive strategies for the treatment of pulmonary embolism. Where are we in 2020? <em>Curr Probl Cardiol<\/em> 2021;<strong>46<\/strong>(3):100650.<\/li>","DOI":"10.1016\/j.cpcardiol.2020.100650"},{"key":"10.12890\/2022_003522_ref2","doi-asserted-by":"crossref","unstructured":"<li>Tu T, Toma C, Tapson VF, Adams C, Jaber WA, Silver M, et al. A prospective, single-arm, multicenter trial of catheter-directed mechanical thrombectomy for intermediate-risk acute pulmonary embolism. <em>JACC Cardiovasc Interv<\/em> 2019;<strong>12<\/strong>(9):859\u2013869.<\/li>","DOI":"10.1016\/j.jcin.2018.12.022"},{"key":"10.12890\/2022_003522_ref3","unstructured":"<li>Konstantinides SV, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Gali\u00e8 N, et al.; Task Force for the diagnosis and management of acute pulmonary embolism of the european society of cardiology (ESC). 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. <em>Eur Heart J<\/em> 2014;<strong>35<\/strong>(43):3033\u20133080.<\/li>"},{"key":"10.12890\/2022_003522_ref4","doi-asserted-by":"crossref","unstructured":"<li>Anderson FA, Zayaruzny M, Heit JA, Fidan D, Cohen AT. Estimated annual numbers of US acute-care hospital patients at risk for venous thromboembolism. <em>Am J Hematol<\/em> 2007;<strong>82<\/strong>(9):777\u2013782.<\/li>","DOI":"10.1002\/ajh.20983"},{"key":"10.12890\/2022_003522_ref5","doi-asserted-by":"crossref","unstructured":"<li>Bishay VL, Adenikinju O, Todd R. FlowTriever Retrieval System for the treatment of pulmonary embolism: overview of its safety and efficacy. <em>Expert Rev Med Devices<\/em> 2021;<strong>18<\/strong>(11):1039\u20131048.<\/li>","DOI":"10.1080\/17434440.2021.1982379"},{"key":"10.12890\/2022_003522_ref6","doi-asserted-by":"crossref","unstructured":"<li>Weinberg AS, Dohad S, Ramzy D, Madyoon H, Tapson VF. Clot extraction with the FlowTriever device in acute massive pulmonary embolism.<em>J Intensive Care Med <\/em>2016;<strong>31<\/strong>(10):676\u2013679.<\/li>","DOI":"10.1177\/0885066616666031"},{"key":"10.12890\/2022_003522_ref7","doi-asserted-by":"crossref","unstructured":"<li>Todoran TM, Sobieszczyk P. Catheter-based therapies for massive pulmonary embolism. <em>Prog Cardiovasc Dis<\/em> 2010;<strong>52<\/strong>(5):429\u2013437.<\/li>","DOI":"10.1016\/j.pcad.2010.01.002"},{"key":"10.12890\/2022_003522_ref8","doi-asserted-by":"crossref","unstructured":"<li>Skaf E, Beemath A, Siddiqui T, Janjua M, Patel NR, Stein PD. Catheter-tip embolectomy in the management of acute massive pulmonary embolism. <em>Am J Cardiol<\/em> 2007;<strong>99<\/strong>(3):415\u2013420.<\/li>","DOI":"10.1016\/j.amjcard.2006.08.052"},{"key":"10.12890\/2022_003522_ref9","doi-asserted-by":"crossref","unstructured":"<li>Sobieszczyk P. Catheter-assisted pulmonary embolectomy.<em>Circulation<\/em> 2012;<strong>126<\/strong>(15):1917\u20131922.<\/li>","DOI":"10.1161\/CIRCULATIONAHA.110.963041"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3522\/3201","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3522\/3202","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3522\/3202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T09:23:50Z","timestamp":1755854630000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3522"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,26]]},"references-count":9,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.12890\/2022_003522","relation":{"has-manifestation":[{"id-type":"other","id":"1-89-3522-g3201","asserted-by":"subject"},{"id-type":"other","id":"1-89-3522-g3202","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-89","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2022,8,26]]}}}