SCAI 2026 Workshop on the Treatment of Pulmonary Embolism-Preprocedural Patient Evaluation-Risk Assessment, Dr. Bangalore

Preprocedural Patient Evaluation-Risk Assessment, Dr. Bangalore

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Video Summary

A 45-year-old woman with asthma initially treated for status asthmaticus later developed tachycardia, transient hypotension, elevated troponin/BNP, and a large saddle PE with clot in transit. Traditional ESC criteria classified her as intermediate-high risk. Newer ACCP/ACCHA categories placed her in C3, but clot-in-transit makes standard risk scores less applicable. She later deteriorated into normotensive shock with low cardiac index. A PE-specific CPES score suggested high risk for hemodynamic collapse. She underwent mechanical thrombectomy, removing clot from the right and left pulmonary arteries, with rapid hemodynamic and right ventricular improvement.

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Keywords

pulmonary embolism

clot in transit

mechanical thrombectomy

hemodynamic collapse

right ventricular dysfunction