Management and Treatment of Pulmonary Embolism: Alpha to Omega-CDT

Video Transcription

Video Summary

In this video, the speaker discusses catheter-directed thrombolysis (CDT) for the treatment of acute pulmonary embolism (PE). They highlight various catheters used in CDT, including standard catheters and specialized ones like ECOS and Thrombolex. The speaker emphasizes the importance of using advanced skills and techniques to ensure accurate placement of the catheter and effective lysis of the clot. They discuss the decreasing trend in lytic dose and the potential for lower-dose CDT to be effective and safe. The speaker also mentions the development of the ECOS device, which achieves higher clot lysis compared to standard CDT. They depict data from the PERT consortium showing that CDT is still commonly used and performs well in terms of mortality and bleeding outcomes. They suggest that with lower-dose therapy and improved techniques, CDT may be a viable option for certain patients with acute PE who may not be suitable for thrombectomy.

Asset Subtitle

Mitchell Weinberg, MD, FSCAI

Keywords

catheter-directed thrombolysis

acute pulmonary embolism

CDT

ECOS

Thrombolex