Pregnancy-associated pulmonary embolism (PA-PE): catheter-directed thrombolysis as first-line rescue

Suzanne Luong; Wei-Yun Mak; Daniel L Rolnik; Ryan Hodges; Yang Yang; Yen Chieng; Timothy Crozier

doi:10.1177/1753495X241290662

Pregnancy-associated pulmonary embolism (PA-PE): catheter-directed thrombolysis as first-line rescue

Obstet Med. 2024 Oct 15:1753495X241290662. doi: 10.1177/1753495X241290662. Online ahead of print.

Authors

Suzanne Luong¹, Wei-Yun Mak¹, Daniel L Rolnik², Ryan Hodges², Yang Yang¹, Yen Chieng³, Timothy Crozier¹

Affiliations

¹ Department of Intensive Care Medicine, Monash Health, Clayton, Australia.
² Department of Obstetrics and Gynaecology, Monash Health, Clayton, Australia.
³ Department of Radiology, Monash Health, Clayton, Australia.

Abstract

Pregnancy-associated pulmonary embolism (PA-PE) is a life-threatening presentation however literature surrounding its optimal management is limited. This case describes a case of PA-PE treated with catheter-directed thrombolysis after clinical deterioration despite standard anticoagulation therapy. Careful multidisciplinary planning is required to successfully manage the deteriorating patient with PA-PE with catheter-directed thrombolysis being considered as potential first-line therapy in these patients.

Keywords: Pregnancy; catheter-directed; multidisciplinary; pulmonary embolism.