{"pk":504,"title":"Submassive Central Saddle and Extensive Bilateral Pulmonary Embolism Presenting as Syncope Treated with Catheter-directed Therapy","subtitle":null,"abstract":"Massive and submassive pulmonary emboli (PE) are rare but potentially life-threatening medical conditions that necessitate immediate recognition and appropriate treatment. We report a 52-year-old man who was found to have a submassive central saddle and extensive bilateral PEs after experiencing a syncopal event and who had evidence of right heart strain and pulmonary hypertension. He was subsequently treated with catheter-assisted thrombectomy and pulmonary artery tissue plasminogen activator administration. This case report presents an outcome in a patient who received an innovative therapy that has not been well established in this subset of patients.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3v06g0tf","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Andrusaitis","name_suffix":"","institution":"University of California, Irvine, School of Medicine, Irvine, California","department":"None"},{"first_name":"Mohammad","middle_name":"","last_name":"Helmy","name_suffix":"","institution":"University of California, Irvine, Department of Radiological Sciences, Orange, California","department":"None"},{"first_name":"Christopher","middle_name":"E.","last_name":"McCoy","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Wirachin","middle_name":"","last_name":"Hoonpongsimanont","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Bharath","middle_name":"","last_name":"Chakravarthy","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Shahram","middle_name":"","last_name":"Lotfipour","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"}],"date_submitted":"2018-01-05T19:10:37Z","date_accepted":"2018-01-05T19:10:37Z","date_published":"2018-01-18T18:13:18Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/504/galley/268/download/"}]}