i have a cousin, 42 yo, who experienced acute submassive pulmonary embolism. No risk factor were apparent, except that she has deep-vein thrombosis at the left femoral. She had underwent intraarterial thrombolysis with urokinase, but this leave still moderately large thrombus at the right and left pulmonary artery.
After one month treatment of anticoagulant, right heart failure increasingly apparent. She also looked bluish, with saturation at rest 90%.
As her family and as a doctor, i am thinking that we have to treat more aggresively.
Does anyone here may have experience or comment whether percutenous embolectomy may be succesful in alleviating the about one-month-old thrombus at the pulmonary branches? Are there any options /suggestion concerning the worsening right heart failure ?




