Thrombolytic Therapy of Acute Massive Pulmonary Embolism Using Swan-Ganz Pulmonary Artery Catheter

  • Ilse Espina
    Affiliations
    Department of Emergency Medicine, Baylor College of Medicine, Houston, TX
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  • Joseph Varon
    Affiliations
    Department of Medicine, The University of Texas Health Science Center, Houston, TX

    Department of Medicine, The University of Texas Medical Branch, Galveston, TX
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  • Peter H. Lin
    Correspondence
    Correspondence to: Peter H. Lin, MD, Professor Emeritus of Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA
    Affiliations
    Michael E. DeBakey Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Baylor College of Medicine, Houston, TX

    Department of Vascular Surgery, University Vascular Associates, Los Angeles, CA
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      Acute 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.
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