Evidence map›Paper›PMID 39131977›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions2024

Mechanical Thrombectomy for High-Risk Pulmonary Embolism: Insights From the US Cohort of the FLASH Registry.

James M Horowitz, Wissam A Jaber, Brian Stegman, Michael Rosenberg, Christina Fanola, Ambarish P Bhat, Sreedevi Gondi, Jordan Castle, Mustafa Ahmed, Michael A Brown and 9 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03761173 (FlowTriever All-Comer Registry for Patient Safety and Hemodynamics), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03761173 completednot on this map

FlowTriever All-Comer Registry for Patient Safety and Hemodynamics (FLASH)

Typeobservational_patient_registrySponsorInari MedicalRan2018 to 2024Enrolled1,200ConditionsPE - Pulmonary Embolism, PE - Pulmonary ThromboembolismArmsFlowTriever System, Anticoagulation Agents
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Thrombus aspiration andFrontiers in cardiovascular medicine · 2026
    Article
  6. Review
  7. Article
  8. The latest in the management of pulmonary embolism.Breathe (Sheffield, England) · 2025
    Review
  9. Article
  10. Review
  11. Review
  12. Navigating the Complexity of High-Risk Pulmonary Embolism-Is Mechanical Thrombectomy the Answer We Need?Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

James M HorowitzDivision of Cardiology, Department of Medicine, NYU Grossman School of Medicine, New York, New York.
Wissam A JaberEmory University Hospital, Atlanta, Georgia.
Brian StegmanCentraCare Heart and Vascular Center, St. Cloud, Minnesota.
Michael RosenbergDepartment of Radiology, University of Minnesota, Minneapolis, Minnesota.
Christina FanolaDepartment of Cardiology, University of Minnesota, Minneapolis, Minnesota.
Ambarish P BhatSection of Vascular and Interventional Radiology, Department of Radiology, University of Missouri, Columbia, Missouri.
Sreedevi GondiBaptist Health, Louisville, Kentucky.
Jordan CastleInland Imaging, Providence Sacred Heart, Spokane, Washington.
Mustafa AhmedUAB Division of Cardiovascular Disease, Birmingham, Alabama.
Michael A BrownMissouri Cardiovascular Specialists, Columbia, Missouri.
Rohit AminAscension Sacred Heart Hospital Pensacola, Pensacola, Florida.
Mohannad BisharatHCA Florida Memorial Hospital Jacksonville, Jacksonville, Florida.
Paul ButrosInova Health System, Fairfax, Virginia.
Aaron DuCoffeInova Health System, Fairfax, Virginia.
Michael SavinSection of Interventional Radiology, Department of Radiology, Corewell Health William Beaumont University Hospital, Royal Oak, Michigan.
Jeffrey S PollakDepartment of Radiology and Biomedical Imaging, Yale University, New Haven, Connecticut.
Mitchell D WeinbergDepartment of Cardiology, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, Staten Island University Hospital, Staten Island, New York.
Daniel BrancheauAscension Genesys Hospital, Grand Blanc, Michigan.
Catalin TomaUniversity of Pittsburgh Medical Center Heart and Vascular Institute, Pittsburgh, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute mortality for high-risk, or massive, pulmonary embolism (PE) is almost 30% even when treated using advanced therapies. This analysis assessed the safety and effectiveness of mechanical thrombectomy (MT) for high-risk PE. Methods: The prospective, multicenter FlowTriever All-comer Registry for Patient Safety and Hemodynamics (FLASH) study is designed to evaluate real-world PE patient outcomes after MT with the FlowTriever System (Inari Medical). In this study, acute outcomes through 30 days were evaluated for the subset of patients with high-risk PE as determined by the sites and following European Society of Cardiology guidelines. An independent medical monitor adjudicated adverse events (AEs), including major AEs: device-related mortality, major bleeding, or intraprocedural device-related or procedure-related AEs. Results: Of the 799 patients in the US cohort, 63 (7.9%) were diagnosed with high-risk PE; 30 (47.6%) patients showed a systolic blood pressure <90 mm Hg, 29 (46.0%) required vasopressors, and 4 (6.3%) experienced cardiac arrest. The mean age of patients with high-risk PE was 59.4 ± 15.6 years, and 34 (54.0%) were women. At baseline, 45 (72.6%) patients were tachycardic, 18 (54.5%) showed elevated lactate levels of ≥2.5 mM, and 21 (42.9%) demonstrated depressed cardiac index of <2 L/min/m Conclusions: In this cohort of 63 patients with high-risk PE, MT was safe and effective, with no acute mortalities reported. Further prospective data are needed in this population.

Indexed as

aspiration thrombectomyembolectomymechanical thrombectomypercutaneous aspiration thrombectomypulmonary embolism

Identifiers

PMID39131977
PMCPMC11307390

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.