<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Pulmonary embolism (PE) remains a common and potentially life-threatening cardiovascular emergency. Systemic thrombolysis with intravenous infusion of a thrombolytic agent is generally recommended for treatment of high risk PE. However, this method has known limitations in the presence of high bleeding risk. Catheter-directed thrombolysis has the potential to achieve the same benefits as systemic thrombolysis, with a lower risk of haemorrhage. The case presented is of a 67-year-old male patient with a high risk of pulmonary embolism and contraindications for systemic thrombolysis, in whom the presence of severe comorbidities presented an increased risk of surgical embolectomy, who was successfully treated by catheter-directed thrombolysis.</p></abstract>

Pulmonary embolism (PE) remains a common and potentially life-threatening cardiovascular emergency. Systemic thrombolysis with intravenous infusion of a thrombolytic agent is generally recommended for treatment of high risk PE. However, this method has known limitations in the presence of high bleeding risk. Catheter-directed thrombolysis has the potential to achieve the same benefits as systemic thrombolysis, with a lower risk of haemorrhage. The case presented is of a 67-year-old male patient with a high risk of pulmonary embolism and contraindications for systemic thrombolysis, in whom the presence of severe comorbidities presented an increased risk of surgical embolectomy, who was successfully treated by catheter-directed thrombolysis.

Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report

Clinic of Cardiology, University of Medicine and Pharmacy of Tirgu Mures, Romania, 38 Gheorghe Marinescu St, 540139

Center of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, Romania 76, 22 decembrie 1989 St 540124

Center of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tîrgu Mureș, Romania, 76, 22 Decembrie 1989 St, 540124

Clinic of Cardiology, University of Medicine and Pharmacy of Tirgu Mures, Romania, 38 Gheorghe Marinescu St, 540139 38

Journal of Cardiovascular Emergencies

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report"}

Pulmonary embolism (PE) remains a common and potentially life-threatening cardiovascular emergency. Systemic thrombolysis with intravenous infusion of a...

Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report

Published Online: Jun 03, 2016

Page range: 37 - 42

Received: Oct 15, 2015

Accepted: Jan 17, 2016

DOI: https://doi.org/10.1515/jce-2016-0007

Keywords
pulmonary embolism, thrombolysis, embolectomy

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Treatment Difficulties in High Risk Pulmonary Embolism. A Case Report

Published Online: Jun 03, 2016

Page range: 37 - 42

Received: Oct 15, 2015

Accepted: Jan 17, 2016

DOI: https://doi.org/10.1515/jce-2016-0007

Keywordspulmonary embolism, thrombolysis, embolectomy

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
pulmonary embolism, thrombolysis, embolectomy