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Semin intervent Radiol 2020; 37(01): 062-073
DOI: 10.1055/s-0039-3401841
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Role of Interventional Radiologist in the Management of Acute Pulmonary Embolism

William Bremer
1   University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Charles E. Ray Jr.
2   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Ketan Y. Shah
2   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
› Author Affiliations
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Publication History

Publication Date:
04 March 2020 (online)

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Erratum: Role of Interventional Radiologist in the Management of Acute Pulmonary EmbolismSemin intervent Radiol 2020; 37(01): e1-e3
DOI: 10.1055/s-0040-1709136

Abstract

Pulmonary embolism is a common cause of morbidity and mortality which continues to increase in overall incidence. Because it can occur with a wide range of clinical presentations, different guidelines have been developed for appropriate risk stratification of patients; interventional radiology plays a vital role in the management of both massive and submassive pulmonary embolism. Catheter-directed therapy, including mechanical and aspiration thrombectomy, standard catheter-directed thrombolysis, and ultrasound-accelerated thrombolysis, has many benefits, including lower thrombolytic doses and intraclot administration of thrombolytic therapy. While the role of catheter-directed therapy is still being developed, four important prospective studies have demonstrated its safety and efficacy. Additional studies comparing short- and long-term clinical outcomes in patients treated with catheter-directed therapy versus anticoagulation are the next step in understanding its role within the management of submassive pulmonary embolism. Furthermore, multidisciplinary pulmonary embolism response teams, in which interventional radiology plays a crucial role, are becoming essential to appropriately managing pulmonary embolism patients, including selection of those who may benefit from catheter-directed therapy.

Keywords

pulmonary embolism - submassive pulmonary embolism - catheter-directed therapy - catheter-directed thrombolysis - pulmonary embolism response team - interventional radiology
 

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