Percutaneous thrombectomy of fat embolism in-transit
We report the case of a previously independent 82-year-old female who experienced acute hemodynamic and respiratory deterioration requiring inotropic support due to a fat embolism during revision hip arthroplasty. Computed tomography pulmonary angiography demonstrated fat embolism, and transesophage...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002867 |
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| author | Erin Cihat Saricilar, BMed, MD, MS, MM Cartan Costello, MB, BCH, BAO, FCICM, FACRRM, FRACGP, DRANZCOG Alexander Misono, MD, MBA, RPVI Laurencia Villalba, MD, FRACS Vasc |
| author_facet | Erin Cihat Saricilar, BMed, MD, MS, MM Cartan Costello, MB, BCH, BAO, FCICM, FACRRM, FRACGP, DRANZCOG Alexander Misono, MD, MBA, RPVI Laurencia Villalba, MD, FRACS Vasc |
| author_sort | Erin Cihat Saricilar, BMed, MD, MS, MM |
| collection | DOAJ |
| description | We report the case of a previously independent 82-year-old female who experienced acute hemodynamic and respiratory deterioration requiring inotropic support due to a fat embolism during revision hip arthroplasty. Computed tomography pulmonary angiography demonstrated fat embolism, and transesophageal echocardiogram showed evidence of right ventricle strain and fat embolism in-transit in the right heart, as well as a moderate patent foramen ovale. Under transesophageal echocardiogram and intravascular ultrasound guidance, the Inari FlowTriever thrombectomy device was used successfully to retrieve the fat embolism with immediate hemodynamic improvement, no complications, and uneventful recovery. |
| format | Article |
| id | doaj-art-bf4829c3f9aa464aa3913435e07ab9d3 |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-bf4829c3f9aa464aa3913435e07ab9d32025-08-20T02:59:16ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-0111210170210.1016/j.jvscit.2024.101702Percutaneous thrombectomy of fat embolism in-transitErin Cihat Saricilar, BMed, MD, MS, MM0Cartan Costello, MB, BCH, BAO, FCICM, FACRRM, FRACGP, DRANZCOG1Alexander Misono, MD, MBA, RPVI2Laurencia Villalba, MD, FRACS Vasc3Wollongong Hospital, Wollongong, New South Wales, AustraliaWollongong Hospital, Wollongong, New South Wales, AustraliaHoag Hospital Irvine, Irvine, CAWollongong Hospital, Wollongong, New South Wales, Australia; University of Wollongong, Wollongong, New South Wales, Australia; Vascular Care Centre, Wollongong, New South Wales, Australia; Correspondence: Laurencia Villalba, MD, FRACS Vasc, Vascular Care Centre Wollongong, 104-51 Crown St, Level One, Wollongong, New South Wales 2500, AustraliaWe report the case of a previously independent 82-year-old female who experienced acute hemodynamic and respiratory deterioration requiring inotropic support due to a fat embolism during revision hip arthroplasty. Computed tomography pulmonary angiography demonstrated fat embolism, and transesophageal echocardiogram showed evidence of right ventricle strain and fat embolism in-transit in the right heart, as well as a moderate patent foramen ovale. Under transesophageal echocardiogram and intravascular ultrasound guidance, the Inari FlowTriever thrombectomy device was used successfully to retrieve the fat embolism with immediate hemodynamic improvement, no complications, and uneventful recovery.http://www.sciencedirect.com/science/article/pii/S2468428724002867Fat embolismLarge-bore thrombectomyPulmonary embolism |
| spellingShingle | Erin Cihat Saricilar, BMed, MD, MS, MM Cartan Costello, MB, BCH, BAO, FCICM, FACRRM, FRACGP, DRANZCOG Alexander Misono, MD, MBA, RPVI Laurencia Villalba, MD, FRACS Vasc Percutaneous thrombectomy of fat embolism in-transit Journal of Vascular Surgery Cases and Innovative Techniques Fat embolism Large-bore thrombectomy Pulmonary embolism |
| title | Percutaneous thrombectomy of fat embolism in-transit |
| title_full | Percutaneous thrombectomy of fat embolism in-transit |
| title_fullStr | Percutaneous thrombectomy of fat embolism in-transit |
| title_full_unstemmed | Percutaneous thrombectomy of fat embolism in-transit |
| title_short | Percutaneous thrombectomy of fat embolism in-transit |
| title_sort | percutaneous thrombectomy of fat embolism in transit |
| topic | Fat embolism Large-bore thrombectomy Pulmonary embolism |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002867 |
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