Endovascular pulmonary embolism treatment
Emergency endovascular treatment of massive/submassive PE by clot aspiration or local catheter-directed fibrinolysis.
The information below is provided for general educational purposes only. It describes the procedure in general terms and may not apply to your specific situation. Only your interventional radiologist can provide you with personalized information adapted to your case.
What does this intervention involve?
Background
Massive/submassive PE with cardiac compromise may need endovascular treatment when anticoagulation is insufficient or systemic thrombolysis is contraindicated.
Procedure
Catheter guided via femoral/jugular vein to pulmonary arteries. Mechanical aspiration (FlowTriever, Penumbra) or local fibrinolysis (EKOS). Duration: 1-3 hours.
Risks
Major bleeding, pulmonary artery perforation, cardiac arrhythmia, recurrence.
Recovery
ICU monitoring. Long-term anticoagulation. Follow-up echocardiography.
Practical information
Local anesthesia. Outpatient procedure (return home the same day).
This information does not replace a medical consultation. Each procedure is adapted to the patient's individual situation. Your doctor will explain the specific details, expected benefits and potential risks during your consultation.
Doctors and centers/departments performing this intervention
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