Acute pulmonary embolism after post-traumatic spinal epidural hematoma: Use of catheter-direct treatment.

Cardiovasc Revasc Med

Department of Cardiology, Santa Maria della Misericordia, Rovigo, Italy. Electronic address:

Published: June 2017

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.

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http://dx.doi.org/10.1016/j.carrev.2016.09.008DOI Listing

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