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Case Reports
Thrombolytic Therapy of Acute Massive Pulmonary Embolism Using Swan-Ganz Pulmonary Artery Catheter.
- Ilse Espina, Joseph Varon, and Peter H Lin.
- Department of Emergency Medicine, Baylor College of Medicine, Houston, TX.
- Ann Vasc Surg. 2017 Aug 1; 43: 315.e9-315.e12.
AbstractAcute massive pulmonary embolism (PE) is associated with high fatality, and catheter-directed thrombolytic therapy has been shown to be an efficacious treatment for this condition. We herein report a patient who developed acute massive PE but could not undergo the conventional catheter-directed thrombolytic therapy. A Swan-Ganz pulmonary artery catheter was placed at bedside to initiate immediate thrombolytic infusion, which resulted in dramatic clinical improvement. This report underscores a potential role of thrombolytic therapy via a transjugular pulmonary artery catheter in patients with acute massive PE who could not undergo the conventional catheter-based thrombolytic intervention.Copyright © 2017 Elsevier Inc. All rights reserved.
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