Ultrasound-Facilitated, Catheter-Directed Fibrinolysis for Acute Pulmonary Embolism - PubMed
3 hours ago
- #Pulmonary Embolism
- #Catheter-Directed Fibrinolysis
- #Clinical Trial
- Trial compared ultrasound-facilitated, catheter-directed fibrinolysis plus anticoagulation vs. anticoagulation alone for acute intermediate-risk pulmonary embolism.
- Primary outcome composite of PE-related death, cardiorespiratory decompensation/collapse, or symptomatic PE recurrence within 7 days occurred in 4.0% of intervention vs. 10.3% of control group (relative risk 0.39, P=0.005).
- Lower risk primarily driven by reduced cardiorespiratory decompensation or collapse in the intervention group.
- Major bleeding rates within 7 days were 4.1% in intervention vs. 2.2% in control (P=0.32); no intracranial hemorrhage occurred.
- Conclusion: Intervention plus anticoagulation is more effective than anticoagulation alone in reducing early adverse outcomes for this patient group.