Expert Review

DOI: 10.4244/EIJ-D-24-00535

Catheter-based techniques for pulmonary embolism treatment

Francesco Costa1,2, MD, PhD; Pablo Salinas3, MD, PhD; Mario Iannaccone4, MD; Enrico Cerrato5,6, MD, PhD; Daniel Tébar Márquez7, MD; Shantum Misra8,9, MD; Felix Götzinger10,11, MD; Gabriele Carciotto2, MD; Salvatore Silipigni2, MD; Victor Manuel Becerra-Muñoz1, MD, PhD; Marco Mennuni12, MD; Alberto Stagno2, MD; Antonio Bottari2, MD; Marco Pavani5,6, MD; Ferdinando Varbella5,6, MD; Juan Horacio Alonso-Briales1, MD; Alfonso Jurado-Román7, MD, PhD; Eric A. Secemsky8,9, MD, PhD; Felix Mahfoud10,12, MD, PhD; Antonio Micari2, MD, PhD

Abstract

Pulmonary embolism (PE) is a life-threatening condition characterised by occlusion of the pulmonary vasculature, with a global incidence of approximately 1 in 1,000 patients. While pharmacological therapy remains the cornerstone of PE management, selected patients may benefit from catheter-directed treatments due to their potential for rapid symptom relief and swift haemodynamic stabilisation. Catheter-directed thrombolysis and catheter-directed mechanical thrombectomy are current treatment options, though their availability is still limited. This review provides a practical outlook on catheter-directed therapies for PE, outlining optimal procedural planning, device selection, technical execution, evaluation of results, and management of complications.

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Volume 21 Number 9
May 5, 2025
Volume 21 Number 9
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