Pulmonary vascular disease & thromboembolism
Quality and rapidity of anticoagulation in patients with acute pulmonary embolism undergoing mechanical thrombectomy
Authors' conclusion
The salient findings of our study showed that only a minority of patients (14.3%) were in the therapeutic range by ACT at the time of MT (primary outcome).
Study context
- Population
- Intermediate-risk PE patients undergoing mechanical thrombectomy
- Outcome
- Proportion achieving therapeutic anticoagulation (by ACT)
- Follow-up
- Time of mechanical thrombectomy
Main finding
As reported in the abstract
Therapeutic AC by ACT at time of MT
In therapeutic range by ACT at time of mechanical thrombectomy (MT)
14.3%
Observational data: associations, not effects.
Further findings
Subtherapeutic after initially reaching therapeutic anticoagulation (AC)
- Subtherapeutic after initial therapeutic AC
- 18.2%
Supratherapeutic AC at some point before MT
- Supratherapeutic AC before MT
- 43%
Therapeutic AC at 6 hours
- Therapeutic AC at 6 hours
- 43%
- Less than half
Original publication
Quality and rapidity of anticoagulation in patients with acute pulmonary embolism undergoing mechanical thrombectomy. Am Heart J. Published January 2024. doi:10.
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