Key result
Multimodal catheter-directed therapy and fibrinolysis successfully resolve intraoperative massive pulmonary embolism.
Why the study?
Massive pulmonary embolism during trauma-related orthopedic procedures requires careful treatment decisions to balance efficacy and bleeding risk.
A combination of fibrinolysis and catheter-directed fragmentation may be a viable multidisciplinary approach for managing intraoperative massive pulmonary embolism.
May support hybrid reperfusion in intraoperative massive PE; hypothesis-generating and requires prospective validation.
Acute pulmonary embolism (PE) is commonly associated with trauma-related orthopedic procedures (63% or even higher). Massive PE in this setting requires meticulous treatment decisions to reduce bleeding risk. We hereby present such a case where we successfully used a combination of fibrinolysis and catheter-directed fragmentation and multidisciplinary approach for intraoperative massive PE.
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Deshpande et al. (2020) studied this question. A combination of fibrinolysis, catheter-directed fragmentation, and a multidisciplinary approach successfully managed a case of intraoperative massive pulmonary embolism.
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