Physiologically Guided Thrombolysis in Pulmonary Embolism

Abstract

We describe the case of a 69-year-old woman who presented with submassive pulmonary embolism without overt shock, but with significant signs of right ventricular failure and dyspnea on minimal exertion. She was managed using a point-of-care ultrasound and pulmonary artery pressure-guided approach in order to minimize total thrombolytic dose while nonetheless achieving significant physiological improvement.

Keywords

• POCUS
• Pulmonary Embolism
• Thrombolysis
• Pulmonary Artery Catheter