Home Management of Acute Pulmonary Embolism
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Adult. Acute bilateral pulmonary emboli. RV/LV ratio greater than 0.9 on CTA. Evidence of right heart strain on echocardiogram. Elevated troponin level. No hypotension. Initial therapy. 3199392
Anticoagulation


Usually appropriate
Catheter-directed therapy pulmonary artery


Usually appropriate
Surgical embolectomy pulmonary artery


May be appropriate
(Disagreement)
Systemic thrombolysis


Usually not appropriate
Extracorporeal membrane oxygenation


Usually not appropriate