Minireviews
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Aug 28, 2022; 14(8): 286-292
Published online Aug 28, 2022. doi: 10.4329/wjr.v14.i8.286
Progress in interventional radiology treatment of pulmonary embolism: A brief review
Alessandro Posa, Pierluigi Barbieri, Giulia Mazza, Alessandro Tanzilli, Roberto Iezzi, Riccardo Manfredi, Cesare Colosimo
Alessandro Posa, Pierluigi Barbieri, Giulia Mazza, Alessandro Tanzilli, Roberto Iezzi, Riccardo Manfredi, Cesare Colosimo, Department of Diagnostic Imaging, Oncologic Radiotherapy and Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome 00168, Italy
Author contributions: Posa A designed the research study; Posa A, Barbieri P, Tanzilli A and Mazza G performed the research and wrote the manuscript; Posa A, Iezzi R, Manfredi R and Colosimo C revised the manuscript; All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the Authors have no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alessandro Posa, MD, Doctor, Department of Diagnostic Imaging, Oncologic Radiotherapy and Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A. Gemelli 8, Rome 00168, Italy. alessandro.posa@gmail.com
Received: March 20, 2022
Peer-review started: March 20, 2022
First decision: May 31, 2022
Revised: June 14, 2022
Accepted: August 6, 2022
Article in press: August 6, 2022
Published online: August 28, 2022
Processing time: 158 Days and 11 Hours
Abstract

Pulmonary embolism represents a common life-threatening condition. Prompt identification and treatment of this pathological condition are mandatory. In cases of massive pulmonary embolism and hemodynamic instability or right heart failure, interventional radiology treatment for pulmonary embolism is emerging as an alternative to medical treatment (systemic thrombolysis) and surgical treatment. Interventional radiology techniques include percutaneous endovascular catheter directed therapies as selective thrombolysis and thrombus aspiration, which can prove useful in cases of failure or infeasibility of medical and surgical approaches.

Keywords: Pulmonary embolism; Interventional radiology; Thrombolysis; Thrombectomy; Catheter directed therapy; Endovascular

Core Tip: Endovascular treatment of massive pulmonary embolism can be a life-saving intervention in hemodynamically unstable patients.