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Pulmonary Embolism. Post-Rx. Pulmonary Embolism (diagnosis confirmed). Cardiac ECHO. N R Ventricle. Right Ventricle Dysfunction. Contraindication to Lytic Rx. Yes. Lytic Rx. No. Catheter-directed Fragmentation or Pulmonary Embolectomy. Anticoagulation. Pulmonary Embolism.
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Pulmonary Embolism Post-Rx
Pulmonary Embolism (diagnosis confirmed) Cardiac ECHO N R Ventricle Right Ventricle Dysfunction Contraindication to Lytic Rx Yes Lytic Rx No Catheter-directed Fragmentation or Pulmonary Embolectomy Anticoagulation
Pulmonary Embolism ThrombolyticTherapy Lytic Rx for PE: • Decreased mortality • Improved R ventricular function • Improved pulmonary function • Decreased CTPH • Decreased recurrent VTE …in properly selected patients
Venous Thromboembolism Management Conclusions • Not all patients are the same • Opportunities to improve care by tailoring management to the patient • Recommendations follow current Int’l guidelines and the anticipated revised ACCP guidelines