A 68-year-old woman presented with acute onset of shortness of breath and shock after recent abdominal surgery. She had an increased oxygen requirement and was on pressors for hemodynamic support.
A CT scan of the chest diagnosed pulmonary embolism with a saddle embolus.
Her echocardiogram showed a flattened ventricular septum and a positive McConnell sign suggestive of a significant pulmonary embolism.
Catheter-directed thrombolysis was performed from a percutaneous right femoral approach with:
UPMC’s interventional thrombolysis program for patients with pulmonary embolism is a joint multidisciplinary effort between:
Potential candidates for percutaneous catheter-directed intrathrombus thrombolysis include patients with acute PE with evidence of increased oxygen requirement, hemodynamic compromise, or heart strain.
This procedure can rapidly restore cardiopulmonary hemodynamics and oxygenation, and potentially improve quality of life by minimizing the long-term sequelae of pulmonary hypertension and heart failure.
To refer a patient to UPMC’s interventional thrombolysis program, call the 24-hour physician referral line at 1-800-544-2500.
© 2011 UPMC