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The Modern Algorithm For Management Of Massive And Submassive Pulmonary Embolism
Date:11/21/2013

e in 6 patients demonstrated further decrease of the RV/LV ratio (to a range of 0.6-0.9). Overall, median length of stay was 1 day in the ICU and 7 days in the hospital. All patients were discharged alive. There were no systemic bleeding complications, but 4 access site bleeding complications requiring transfusion and 1 suspected recurrent massive PE event; all reported in our early experience involving higher rtPA doses at the range of 45 mg, but no bleeds reported in the current protocol with 24 mg. In summary, our analysis demonstrated rapid resolution of RV dysfunction among both massive and submassive PE patients from USAT, with evidence of continued improvement with time." "These results support that the catheter-based modality allows hemodynamic recovery consistent with that observed in IV thrombolysis, while minimizing the serious bleeding risks associated with IV therapy," concluded Engelhardt.

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