Shannon M Monnat, Monica A F Lounsbery, Nicole J Smith
Correlates of state enactment of elementary school physical education laws
Preventive medicine
singlesession catheterdirected thrombolysis cdt adjunctive power pulse spray pps without thrombectomy evaluated safety effectiveness performed singlecenter retrospective analysis prospectively collected data patients highrisk intermediaterisk pulmonary embolism pe met inclusion criteria underwent single session cdtpps included study primary outcomes assessed technical clinical success major adverse events secondary outcomes included effectiveness based pre postintervention clinical examination radiographic findings reversal right ventricular dysfunction 48 hours 4 weeks discharge echocardiography computed tomography pulmonary angiography length stay intensive care unit overall admission also analyzed return premorbid exercise tolerance evaluated 12 months procedure may 2016 january 2023 104 patients wollongong hospital diagnosed high intermediaterisk pe underwent cdtpps 104 patients 49 47 considered highrisk pe 55 53 intermediaterisk pe eleven patients 11 absolute contraindications 49 patients 47 relative contraindications systemic thrombolysis technical success achieved 102 patients 98 survival 99 48 hours 96 4 weeks 91 12 months 4 weeks echocardiography showed 98 patients evidence right heart dysfunction computed tomography pulmonary angiography showed complete resolution pe 72 major adverse events 48 hours median intensive care unit length stay 1 day overall length stay 6 days 12 months 96 returned premorbid status cdtpps technique fast safe effective treatment high intermediaterisk pe even patients high bleeding risk considered firstline management skills resources available multicenter prospective studies needed corroborate results