Open AccessPulmonary artery catheter-directed thrombolysis for intermediate high risk acute pulmonary embolism
Author(s) -
Abhijeet Singh,
Ayush Gupta,
Jagdish Chander Suri
Publication year - 2017
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/lungindia.lungindia_386_16
Subject(s) - medicine , thrombolysis , pulmonary embolism , pulmonary artery , cardiology , catheter , pulmonary artery catheter , artery , surgery , hemodynamics , cardiac output , myocardial infarction
A case of 60-year-old male with acute pulmonary embolism without hypotension but signs of right ventricular dysfunction and elevated cardiac biomarkers is reported in this study. The patient comes under intermediate high-risk category and was successfully thrombolysed with alteplase infused through pulmonary artery catheter. Catheter-directed thrombolysis (CDT) can be considered as much safer and effective alternative to systemic thrombolysis in such patients with lower risk of bleeding. This novel bedside method of pulmonary artery CDT with the advantage of no radiation exposure and real time monitoring of pulmonary artery pressures as an end-point of thrombolysis can be utilized in the near future.