Catheter Thrombectomy of Massive Pulmonary Embolism Secondary to Spongostan Embolisation: A Case Report.
Talya Finke, Oshry Mozes, Itai Pessach et al.
✦ AI-curated · Sources linked
Case in brief
A 7-year-old boy developed massive pulmonary embolism (PE) following the embolisation of hemostatic agents during neurosurgery. He required venoarterial extracorporeal membrane oxygenation (ECMO) support. Catheter embolectomy was performed using the Penumbra 0.072" catheter, successfully removing blood clots and gelatinous Spongostan clumps. The patient was weaned from ECMO the next day and extubated shortly thereafter.
What made this case unusual
The case highlights a rare complication of Spongostan embolisation leading to massive PE, necessitating advanced intervention.
Diagnostic / clinical pearl
Clinicians should be aware of the potential for massive PE from hemostatic agents like Spongostan during surgical procedures.
Why it matters
This case underscores the importance of recognizing and managing complications from novel hemostatic agents in surgical settings.