title: Acute pulmonary embolism after post-traumatic spinal epidural hematoma: Use of catheter-direct treatment.
abstract: We report the case of a 35-year-old man who developed a massive pulmonary embolism (PE) after spine surgery. After an accidental axial fall, the patient developed a spinal epidural hematoma (SHE). Because major trauma, recent surgery and known bleeding risk are considered absolute contraindications to systemic thrombolysis, the patient was treated with catheter-directed therapy (CDT). CDT remains a useful treatment in massive PE, especially when systemic thrombolysis is contraindicated or has failed.
authors.affiliation: Department of Cardiology, Santa Maria della Misericordia, Rovigo, Italy; Section of Internal and Cardiopulmonary Medicine, Department of Medical Science, University of Ferrara, 44124, Cona, Ferrara, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Zuin
authors.affiliation: Department of Cardiovascular Diagnosis and Endoluminal Interventions, Santa Maria della Misericordia Hospital, 45100, Rovigo, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Rigatelli
authors.affiliation: Department of Neurosurgery, Santa Maria della Misericordia, Rovigo, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Ferraresi
authors.affiliation: Department of Cardiology, Santa Maria della Misericordia, Rovigo, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Zonzin
authors.affiliation: Department of Cardiology, Santa Maria della Misericordia, Rovigo, Italy. Electronic address: roncon.loris@azisanrovigo.it.
authors.forename: Loris
authors.initials: L
authors.lastname: Roncon
mesh_terms: D000058:Accidental Falls; D000328:Adult; D000792:Angiography; D057510:Endovascular Procedures; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D013904:Thoracic Vertebrae / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome
keywords: Acute pulmonary embolism; Catheter-directed therapy