Catheter-directed therapy in pulmonary embolism

Sulimov, Dmitry; Freund, Anne; Thiele, Holger

doi:10.1007/s00059-021-05059-6

Cited by 3 publications

(1 citation statement)

References 36 publications

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“…However, data on safety and efficacy are limited, and randomized trials and long-term observations are lacking. Therefore, the choice of treatment depends on the patient's clinical status, bleeding risk, local expertise, and available devices [5,11,12]. In cases where ROSC cannot be achieved after initial chest compression, ECMO (extracorporeal membrane oxygenation) plays a crucial role as a bridging therapy before thrombolysis [13,14].…”

Section: Fig-3mentioning

confidence: 99%

Acute Massive Pulmonary Embolism During Craniotomy: A Case Report

Wang

Yang

et al. 2023

Asp Biomed Clin Case Rep

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Background: Venous thrombosis is a common complication among critically ill patients with intracerebral hemorrhage, which may lead to pulmonary embolism. Case Presentation: In this report, we present a case of a man who was diagnosed with left basal ganglia region hemorrhage, hypertension, and venous thromboembolism. Considering the risks, including rebleeding and the expansion of the hematoma, he did not receive any anticoagulation after onset. The thrombus located in the pulmonary artery was found by transesophageal echocardiography after he suffered cardiac arrest during the craniotomy. Additionally, a thrombus attached to the central venous catheter was observed by ultrasound. Unfortunately, he died of PE without receiving any effective treatment. Conclusions: This case emphasizes the importance of prophylactic and therapeutic strategies for thromboembolic events among critically ill populations. It also underscores the critical role of perioperative ultrasound.

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