Combined catheter thrombus fragmentation and percutaneousthrombectomy in a patient with massive pulmonary emboli and acute cerebral infarct

Acute massive pulmonary embolism (PE) constitutes approximately one-fifth of all PE events and is a life-threatening condition (1, 2). Although systemic thrombolysis is the recommended first-line treatment, in the case of high risk of bleeding, surgical embolectomy and percutaneous interventions are the alternative treatment options (3, 4). Here, we present a patient with massive PE and an acute cerebrovascular accident (CVA), treated successfully with a relatively lesser known and practiced treatment option.