[DJR-148 1.0 CE] Safety and Efficacy of Acute Pulmonary Embolism Treated via Large-Bore Aspiration Mechanical Thrombectomy Using the Inari FlowTriever Device

Lesson
Materials

Purpose: To report initial experience with safety and efficacy in the treatment of pulmonary embolism (PE) using the FlowTriever
device.
Materials and Methods: A single-center retrospective study was performed in all patients with acute central PE treated using the
FlowTriever device between March 2018 and March 2019. A total of 46 patients were identified (massive 1⁄4 8; submassive 1⁄4 38), all

with right ventricular (RV) strain and 26% with thrombolytic contraindications. Technical success (according to SIR reporting guide-
lines) and clinical success (defined as mean pulmonary artery pressure intraprocedural improvement) are reported, as are major device

and procedure-related complications within 30 days after discharge.
Results: Technical success was achieved in 100% of cases (n 1⁄4 46). Average mean pulmonary artery pressure improved significantly
from before to after the procedure for the total population (33.9 ± 8.9 mm Hg before, 27.0 ± 9.0 mm Hg after; P < .0001; 95%
confidence interval [CI], 5.0–8.8), submassive cohort (34.7 ± 9.1 mm Hg before, 27.4 ± 9.2 mm Hg after; P <.0001; 95% CI, 5.2–9.5)
and massive cohort (30.4 ± 6.9 mm Hg before, 25.4 ± 8.2 mm Hg after; P < .05; 95% CI:0.4–9.6). Intraprocedural reduction in mean
pulmonary artery pressure was achieved in 88% (n 1⁄4 37 of 42). A total of 100% of patients (n 1⁄4 46 of 46) survived to hospital
discharge. In total, 71% of patients (n 1⁄4 27 of 38) experienced intraprocedural reduction in supplemental oxygen requirements. Two
major adverse events (4.6%) included hemoptysis requiring intubation, and procedure-related blood loss requiring transfusion. No
delayed procedure-related complications or deaths occurred within 30 days of hospital discharge.
Conclusions: Initial clinical experience using the FlowTriever to perform mechanical thrombectomy showed encouraging trends with
respect to safety and efficacy for the treatment of acute central, massive, and submassive pulmonary embolism.

Structured Education:

CI – 2016Patient Care
Patient Interactions and Management0.50
CI – 2017Patient Care
Patient Interactions and Management0.50
VI – 2016Patient Care
Patient Interactions and Management0.50
VI – 2017Patient Care
Patient Interactions and Management0.50
RA – 2017Procedures
Thoracic Section0.50
RA – 2018Procedures
Thoracic Section0.50