Management and Treatment of Pulmonary Embolism: Alpha to Omega-After the Dust Settles: Follow-Up After PE

Video Transcription

Video Summary

In this video, the speaker discusses the longer-term consequences of acute pulmonary embolism (PE). They explore the natural history of acute PE, including how patients may respond to anticoagulation treatment alone and the amount of residual pulmonary vascular obstruction they may have. The speaker highlights that most patients with PE initially have higher PE pressures that slowly drop over a period of 30 to 90 days. They also explain that the majority of patients experience clot reduction but not elimination from their pulmonary vascular trees over time. The main concern is that some patients may develop chronic PE syndromes, particularly chronic thromboembolic pulmonary hypertension (CTEPH). The speaker further explains different subcategories of patients, such as those with residual pulmonary vascular obstruction and dyspnea, and those with deconditioning as a contributing factor. The importance of a multidisciplinary approach and various treatment options is also discussed. The video concludes with a discussion about ongoing trials and the need to consider both short-term and long-term outcomes in PE patients.

Asset Subtitle

Jay Giri, MD, FSCAI

Keywords

acute pulmonary embolism

natural history

anticoagulation treatment

residual pulmonary vascular obstruction

chronic thromboembolic pulmonary hypertension