Catheter-directed thrombolysis with the Endowave system in the treatment of acute massive pulmonary embolism: a retrospective multicenter case series.

Purpose: To evaluate the efficacy of thrombolysis with the EndoWave peripheral infusion system in the treatment of patients with massive pulmonary embolism (PE) as compared to patients treated with catheter-directed thrombolysis.

Materials And Methods: Ten patients (five men and five women; age range, 31-85 years; mean age, 54.20 years) with massive acute PE (17 lesions) were treated with ultrasonography (US)-assisted catheter-directed thrombolysis with the Endowave system.

Clinical practice of interventional and cardiovascular radiology: current status, guidelines for resource allocation, future directions.

The practices of interventional radiology and interventional neuroradiology are centered on high-quality direct patient care. These subspecialties have long histories of innovative care that has often revolutionized the treatment of disease and illness. More recently, however, this success has brought about competition from former referring physicians as they have gained access to technology and training that will enable them to obtain credentials for procedures that were formerly in the exclusive domain of interventionalists.