Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism

High-risk pulmonary embolism (PE) is a complex clinical entity associated with high mortality rates. Ultrasound-assisted, catheter-directed thrombolysis, typically used for intermediate-risk PE, may be a viable treatment approach for high-risk PE, particularly in patients at increased risk for major...

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Main Authors: Karam P. S. Gill, MD, Daniel P. O’Brien, MD, Jonathan E. Soverow, MD
Format: Article
Language:English
Published: The Texas Heart Institute 2024-02-01
Series:Texas Heart Institute Journal
Subjects:
Online Access:https://meridian.allenpress.com/thij/article-pdf/doi/10.14503/THIJ-23-8235/3323957/i1526-6702-51-1-e238235.pdf
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author Karam P. S. Gill, MD
Daniel P. O’Brien, MD
Jonathan E. Soverow, MD
author_facet Karam P. S. Gill, MD
Daniel P. O’Brien, MD
Jonathan E. Soverow, MD
author_sort Karam P. S. Gill, MD
collection DOAJ
description High-risk pulmonary embolism (PE) is a complex clinical entity associated with high mortality rates. Ultrasound-assisted, catheter-directed thrombolysis, typically used for intermediate-risk PE, may be a viable treatment approach for high-risk PE, particularly in patients at increased risk for major bleeding. This report describes a case in which ultrasound-assisted, catheter-directed thrombolysis was successfully used to treat high-risk PE in a female patient with extensive peritoneal metastases from gastric adenocarcinoma. Other examples from the literature, in which ultrasound-assisted, catheter-directed thrombolysis was used to treat high-risk PE, are also provided.
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spelling doaj.art-83c909b6230a44b5ac69080e5eca6bbe2024-04-09T08:07:50ZengThe Texas Heart InstituteTexas Heart Institute Journal1526-67022024-02-015111710.14503/THIJ-23-8235i1526-6702-51-1-e238235Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary EmbolismKaram P. S. Gill, MD0Daniel P. O’Brien, MD1Jonathan E. Soverow, MD21 Department of Internal Medicine, Olive View–University of California Los Angeles Medical Center, Sylmar, California2 Department of Cardiology, Olive View–University of California Los Angeles Medical Center, Sylmar, California2 Department of Cardiology, Olive View–University of California Los Angeles Medical Center, Sylmar, CaliforniaHigh-risk pulmonary embolism (PE) is a complex clinical entity associated with high mortality rates. Ultrasound-assisted, catheter-directed thrombolysis, typically used for intermediate-risk PE, may be a viable treatment approach for high-risk PE, particularly in patients at increased risk for major bleeding. This report describes a case in which ultrasound-assisted, catheter-directed thrombolysis was successfully used to treat high-risk PE in a female patient with extensive peritoneal metastases from gastric adenocarcinoma. Other examples from the literature, in which ultrasound-assisted, catheter-directed thrombolysis was used to treat high-risk PE, are also provided.https://meridian.allenpress.com/thij/article-pdf/doi/10.14503/THIJ-23-8235/3323957/i1526-6702-51-1-e238235.pdfpulmonary embolismtissue plasminogen activatorultrasonography, interventional
spellingShingle Karam P. S. Gill, MD
Daniel P. O’Brien, MD
Jonathan E. Soverow, MD
Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism
Texas Heart Institute Journal
pulmonary embolism
tissue plasminogen activator
ultrasonography, interventional
title Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism
title_full Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism
title_fullStr Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism
title_full_unstemmed Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism
title_short Use of Ultrasound-Assisted, Catheter-Directed Thrombolysis in a Patient With High-Risk Pulmonary Embolism
title_sort use of ultrasound assisted catheter directed thrombolysis in a patient with high risk pulmonary embolism
topic pulmonary embolism
tissue plasminogen activator
ultrasonography, interventional
url https://meridian.allenpress.com/thij/article-pdf/doi/10.14503/THIJ-23-8235/3323957/i1526-6702-51-1-e238235.pdf
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AT jonathanesoverowmd useofultrasoundassistedcatheterdirectedthrombolysisinapatientwithhighriskpulmonaryembolism