“…Although some of these factors are based on the patient's clinical condition, such as hemodynamic stability, other details about the thrombus such as "location, size, and thrombus in transit" also are pertinent. 1 Cormican et al recognized the complexity of some of these clinical scenarios; indeed, the review stated: "guidelines have deemed operative risk acceptable in patients with high-risk PE in extremis, who have contraindications to thrombolytics or have already failed them, have intracardiac thrombus, thrombus 'in transit,' or paradoxical embolus." 2 However, we do acknowledge that thrombus in transit was not discussed in detail.…”