Suction Pulmonary Embolectomy in Patient with Massive PTE

Suction pulmonary thromboembolectomy is a minimally invasive procedure used to treat acute pulmonary embolism (PE) by aspirating the emboli from the pulmonary arteries using a catheter-based suction device. This technique is particularly beneficial for patients who are at high risk for thrombolysis or have contraindications to it. Compared to open pulmonary embolectomy, which involves a more invasive surgical approach requiring a sternotomy to access the heart and lungs, suction thromboembolectomy offers several advantages. It significantly reduces procedural time, minimizes blood loss, and lowers the risk of complications12. Additionally, it avoids the need for general anesthesia and has a shorter recovery period2. However, open pulmonary embolectomy remains a crucial option for patients with massive PE or when catheter-based methods are not feasible3. Both procedures aim to restore pulmonary perfusion and improve right ventricular function, but the choice of technique depends on the patient’s specific clinical scenario and risk factors123.