Treating Pulmonary Embolism With Laguna Thrombectomy System (TRUST)
UCI Specialty Area: Pulmonology
Principal Investigator:
Nadine Abi-Jaoudeh
Official Title:
Treating Pulmonary Embolism with Laguna Thrombectomy System (TRUST)
A Study On:
Lung - Pulmonary
Study Description
Eligibility
- Greater than or equal to 18 years of age; less than 85 years old
- RV/LV ratio greater than 0.9 as determined by CTA
- Systolic blood pressure greater than 90 mmHg
- Heart rate less than or equal to 120
- Patient is deemed eligible for procedure by the interventional investigator
- CTA evidence of proximal PE (filling defect in at least one main or lobar pulmonary artery)
- PE Symptom duration less than or equal to 14 days
- Systolic pulmonary artery pressure greater than 70 mmHg on initial invasive hemodynamic assessments
- Life expectancy of less than 90 days in the opinion of investigator at the time of enrollment
- Subject pregnant or breast feeding
- Current participation in another drug or medical device treatment study
- In active chemotherapy or radiation treatment for a malignancy during the course of the study
- Any intravascular administration of a fibrinolytic agent (such as Alteplase or Tenecteplase) within the last 30 days
- Presence of recently placed (less than 8 weeks) intracardiac devices (such as pacemaker leads) in the right ventricle or right atrium
- History of prior PE within the past 90 days
- FiO2 Requirement: greater than 40% (6 LPM) to keep oxygen saturation greater than 90%
- Hematocrit: less than 28%
- Platelets: less than 100,000/microliter
- Serum Creatinine: greater than 2 mg/dL
- International Normalized Ratio (INR): greater than 3
- Major Trauma Injury Severity Score (ISS): greater than 15
- Cardiovascular or pulmonary surgery within the last 7 days
- Known bleeding diathesis or coagulation disorder that cannot be managed with anti-coagulation
- History of known severe or chronic pulmonary arterial hypertension
- History or chronic left heart disease with left ventricular ejection fraction less than 30%
- History of underlying lung disease that is oxygen dependent
- History of chest irradiation
- Known anaphylactic reaction to radiographic contrast agents that cannot be pretreated
- Any absolute contraindication to systemic or therapeutic dosage of heparin or anticoagulants
- Imaging or other evidence that suggests, in the opinion of the investigator, the subject is not appropriate for mechanical thrombectomy intervention (e.g., inability to navigate to target location, predominantly chronic clot or non-clot embolus)
- Known presence of clot in transit within right atrium or ventricle

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