Key result
Intravenous fibrinolysis with 100 mg of rtPA successfully alleviated hemodynamic instability and resolved a large, free-floating right atrial thrombus in a patient with acute massive pulmonary embolism.
Case Report (n=1)
No
Intravenous fibrinolysis can successfully treat acute massive pulmonary embolism complicated by a free-floating right heart thrombus and circulatory collapse.
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May support fibrinolysis in select massive PE cases with right heart thrombus; leaves open need for controlled evidence.
Kaitalidou et al. (2020) conducted a case report in Acute massive pulmonary embolism with right heart thrombus (n=1). Intravenous fibrinolysis (rtPA) was evaluated on Hemodynamic stabilization and thrombus resolution. Intravenous fibrinolysis with 100 mg of rtPA successfully alleviated hemodynamic instability and resolved a large, free-floating right atrial thrombus in a patient with acute massive pulmonary embolism.
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