Treating Pulmonary Embolism With Laguna Thrombectomy System (TRUST)

Who can take part

• ≥ 18 years of age; < 85 years old
• RV/LV ratio > 0.9 as determined by CTA
• Systolic blood pressure > 90 mmHg
• Heart rate ≤ 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 ≤ 14 days

Who cannot take part

• Current participation in another drug or medical device treatment study
• History of prior PE within the past 90 days
• Cardiovascular or pulmonary surgery within the last 7 days
• Known anaphylactic reaction to radiographic contrast agents that cannot be pretreated
• In active chemotherapy or radiation treatment for a malignancy during the course of the study
• Known bleeding diathesis or coagulation disorder that cannot be managed with anti-coagulation
• History of known severe or chronic pulmonary arterial hypertension
• History of underlying lung disease that is oxygen dependent
• History of chest irradiation
• Platelets: < 100,000/microliter
• Serum Creatinine: > 2 mg/dL
• International Normalized Ratio (INR): > 3
• History or chronic left heart disease with left ventricular ejection fraction < 30%
• Systolic pulmonary artery pressure > 70 mmHg on initial invasive hemodynamic assessments
• Life expectancy of < 90 days in the opinion of investigator at the time of enrollment
• Subject pregnant or breast feeding
• Any intravascular administration of a fibrinolytic agent (such as Alteplase or Tenecteplase) within the last 30 days
• Presence of recently placed (<8 weeks) intracardiac devices (such as pacemaker leads) in the right ventricle or right atrium
• FiO2 Requirement: > 40% (6 LPM) to keep oxygen saturation > 90%
• Hematocrit: < 28%
• Major Trauma Injury Severity Score (ISS): > 15
• 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