Abstract
Aggressive intervention is required for patients with arterial hypotension, hypoxia and right ventricular dysfunction.Pulmonary catheterisation and direct thrombolysis is not superior to systemic thrombolysis.Catheter emblectomy or clot fragmentation should be reserved for patients with massive pulmonary embolism (PE) with a contraindication to thrombolysis.Inferior vena caval (IVC) filters may prevent further fatal PE in critically ill patients.Temporary/retrievable filters should be used where possible.
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