Anatol J Cardiol. Ahead of Print: AJC-26682 | DOI: 10.14744/AnatolJCardiol.2023.3639

Current Insights for Catheter-Directed Therapies in Acute Pulmonary Embolism: Systematic Review and Our Single-Center Experience

Cihangir Kaymaz¹, Hacer Ceren Tokgöz¹, Barkın Kültürsay¹, Aykun Hakgör², Berhan Keskin³, Ahmet Sekban¹, Ali Karagöz^1
1Department of Cardiology, Koşuyolu Training and Research Hospital, İstanbul, Türkiye
²Department of Cardiology, Faculty of Medicine, Medipol University, İstanbul, Türkiye
³Department of Cardiology, Kocaeli City Hospital, Kocaeli, Türkiye

In this review, the current status of the worldwide experience on different catheter-directed treatment systems utilized as alternative reperfusion methods in acute pulmonary­embolism was evaluated, and the risk stratification algorithms in which catheter-directed treatments may be implemented, source of evidence in this setting, adjudication of­benefits and risks of available techniques, and innovative multidisciplinary frameworks for referral patterns and care delivery were discussed. Moreover, our perspectives on risk-based catheter-directed treatment utilization strategies in acute pulmonary embolism were summarized.

Keywords: Ultrasound-assisted thrombolysis, rheolytic thrombectomy, catheter-directed thrombolysis, catheter-directed thrombectomy, pulmonary embolism

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