We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
Thermo Fisher Scientific - Direct Effect Media

Download Mobile App


ATTENTION: Due to the COVID-19 PANDEMIC, many events are being rescheduled for a later date, converted into virtual venues, or altogether cancelled. Please check with the event organizer or website prior to planning for any forthcoming event.

Endovascular Ultrasonic System Treats Pulmonary Embolisms

By HospiMedica International staff writers
Posted on 18 Oct 2021
Print article
Image: The EkoSonic IDDC and removable coaxial ultrasound transducer core (Photo courtesy of  EKOS Corporation)
Image: The EkoSonic IDDC and removable coaxial ultrasound transducer core (Photo courtesy of EKOS Corporation)
An ultrasound-facilitated catheter-directed low-dose fibrinolysis device accelerates the penetration of thrombolytic agents into pulmonary embolisms (PEs).

The Boston Scientific (Natick, MA, USA) EkoSonic (EKOS) Endovascular System is intended for the treatment of PE patients with a 50% or more clot burden in one or both of the main pulmonary or lobar arteries. The device consists of an intelligent drug delivery catheter (IDDC), an infusion catheter with a removable coaxial ultrasound transducer core, and a microsonic device (MSD). The acoustic energy conditions blood clots by thinning fibrin, increasing porosity, and creating a pressure gradient that transports the thrombolytic drug into the occluding thrombus.

In an international registry study published in 2020 in Circulation Cardiovascular Interventions that included 489 patients treated with the EKOS system, there were no intracerebral hemorrhagic (ICH) events and a major bleeding rate of 2.5%, significantly lower than with a systemic thrombolysis drug. The results also demonstrated a 23% post-procedure reduction in the main indicator of heart strain from PE, measured as right ventricular to left ventricular diameter ratio (RV/LV).

“As the largest prospective body of evidence in the interventional PE space to date, the registry provides an accurate modern representation of patients with PE treated with the EKOS system every day,” said Michael Jaff, DO, chief medical officer of peripheral interventions at Boston Scientific. “The strong safety and efficacy findings exhibited in this registry add to the existing clinical evidence supporting the EKOS system as a treatment option that physicians can trust.”

“PE remains a life-threatening and complex disease, but these results provide an opportunity to advance patient care by showcasing evidence that proves a lower drug dose and shorter infusion duration of a thrombolytic agent may result in enhanced safety and efficacy,” said Keith Sterling, MD, of Inova Alexandria Hospital (Alexandria, VA, USA). “The findings in this registry analysis are very reassuring to physicians making critical evidence-based decisions for their patients in what are oftentimes emergent treatment situations.”

PE is a blockage of an artery in the lungs, most commonly due to deep vein thrombosis (DVT) arising from peripheral veins. Symptoms include shortness of breath, chest pain, and coughing up blood. PE warning signs include low blood oxygen levels, rapid breathing, a rapid heart rate, and sometimes a mild fever. In many cases the affected extremity will be painful, swollen, red, and warm, and the superficial veins may be engorged.

Related Links:
Boston Scientific

Print article


Surgical Techniques

view channel
Image: Resolute Onyx DES helps address all DES needs and numerous patient anatomies (Photo courtesy of Medtronic)

Medtronic’s Latest Generation Drug-Eluting Coronary Stent System Offers Dual-Layer Balloon Technology

Coronary artery disease (CAD) is one of the leading causes of death and is caused by plaque buildup on the inside of the coronary arteries. These plaque deposits can narrow or clog the inside of the arteries,... Read more

Patient Care

view channel
Image: Future wearable health tech could measure gases released from skin (Photo courtesy of Pexels)

Wearable Health Tech Could Measure Gases Released From Skin to Monitor Metabolic Diseases

Most research on measuring human biomarkers, which are measures of a body’s health, rely on electrical signals to sense the chemicals excreted in sweat. But sensors that rely on perspiration often require... Read more

Health IT

view channel
Image: AI can reveal a patient`s heart health (Photo courtesy of Mayo Clinic)

AI Trained for Specific Vocal Biomarkers Could Accurately Predict Coronary Artery Disease

Earlier studies have examined the use of voice analysis for identifying voice markers associated with coronary artery disease (CAD) and heart failure. Other research groups have explored the use of similar... Read more
Copyright © 2000-2022 Globetech Media. All rights reserved.