SCAI 2026 Workshop on the Treatment of Pulmonary Embolism-Procedural Workflow: How to Avoid Complications, Dr. Toma

Procedural Workflow: How to Avoid Complications, Dr. Toma

Video Transcription

Video Summary

The speaker explains how to prevent complications during pulmonary embolism thrombectomy by careful pre-procedure assessment, CT and echo review, and procedural efficiency. Key points include evaluating hemodynamics, clot burden, acute versus chronic clot, clot in transit, and PFO-related shunting. They emphasize minimal sedation, ultrasound-guided access, proper wire placement, avoiding risky distal branches, and using right-heart catheter data to guide fluids, pressors, or ECMO. The talk also covers common decompensation modes such as vagal episodes, clot embolization, and rare hemoptysis/perforation. The main message: understand anatomy, monitor physiology, and work quickly and safely.

Asset Caption

closed captions are computer-generated

Keywords

pulmonary embolism thrombectomy

pre-procedure assessment

hemodynamic monitoring

clot burden evaluation

procedural complications