Rheolytic Thrombectomy with or without Adjunctive Indwelling Pharmacolysis in Patients Presenting with Acute Pulmonary Embolism Presenting with Right Heart Strain and/or Pulseless Electrical Activity

<table>This is 44-yr-old woman with acute chest pain shortness of breath and tachycardia. Oblique coronal CT image (a) and pulmonary angiogram (b) showed massive left main and lower lobe PA embolus (arrows). Mean pulmonary artery pressure on initial study was 34 mm Hg. A 6-French Angiojet device (arrow) was used (c) followed by catheter-directed thrombolysis for 13 hours. Follow-up angiogram demonstrated significant decrease in clot burden (arrow) (d). Mean pulmonary artery pressure decreased from 34 to 18 mmHg.</table>

Thrombosis

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Figure 1

Figure 1: Rheolytic Thrombectomy with or without Adjunctive Indwelling Pharmacolysis in Patients Presenting with Acute Pulmonary Embolism Presenting with Right Heart Strain and/or Pulseless Electrical Activity 

Figure 1 | Rheolytic Thrombectomy with or without Adjunctive Indwelling Pharmacolysis in Patients Presenting with Acute Pulmonary Embolism Presenting with Right Heart Strain and/or Pulseless Electrical Activity 