Half-dose alteplase for sub-massive pulmonary embolism directed by emergency department point-of-care ultrasound

Richard Amini, Ashish R. Panchal, David Bahner, Srikar Adhikari

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

This report describes a patient with sub-massive pulmonary embolism (PE) who was successfully treated with half-dose thrombolytics guided by the use of point-of-care (POC) ultrasound. In this case, POC ultrasound was the only possible imaging since computed tomography was contraindicated. POC ultrasound demonstrated a deep vein thrombosis and evidence of cardiac strain. In situations or locations where definitive imaging is unobtainable, POC ultrasound can help diagnose submassive PE and direct the use of half-dose tissue plasminogen activator.

Original languageEnglish (US)
Pages (from-to)184-189
Number of pages6
JournalWestern Journal of Emergency Medicine
Volume16
Issue number1
DOIs
StatePublished - Jan 1 2015

Keywords

  • Cardiac care
  • Pulmonary embolism
  • Thrombolysis
  • Thrombolysis
  • Ultrasound

ASJC Scopus subject areas

  • Emergency Medicine

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