Acute Pulmonary Embolism after post-traumatic spinal epidural hematoma: use of catheter-direct treatment

We report the case of a 35-year-old man who developed a massive pulmonary embolism (PE) after spine surgery. After an accidental axial fall, the patient developed a spinal epidural hematoma (SHE). Because major trauma, recent surgery and known bleeding risk are considered absolute contraindications to systemic thrombolysis, the patient was treated with catheter-directed therapy (CDT). CDT remains a useful treatment in massive PE, especially when systemic thrombolysis is contraindicated or has failed.

http://www.cardiorevascmed.com/article/S1553-8389(16)30274-3/fulltext?rss=yes

Source: Cardiovascular Revascularization Medicine - September 28, 2016 Category: Cardiology Authors: Marco Zuin, Gianluca Rigatelli, Stefano Ferraresi, Pietro Zonzin, Loris Roncon Tags: Case Report Source Type: research