166058 20260119170325.0 doi 10.1016/j.rxeng.2024.01.008 sideral 147493 ART-2025-147493 eng Ciampi-Dopazo, J.J. Current state of the interventional approach to acute pulmonary embolism 2025 Massive pulmonary embolism (PE) is a disease with high mortality, therefore early diagnosis and treatment is essential to save lives. In the absence of contraindications, patients with massive PE (high risk) should be treated immediately with full-dose intravenous systemic thrombolysis. The subset of patients for whom systemic thrombolysis is not successful and who continue to present with haemodynamic compromise or those with contraindications may be candidates for various catheter-directed or surgical therapies. The decision algorithm in intermediate-high/submassive risk patients is complex and must be employed by a multidisciplinary team and success may depend on the experience of the medical specialists involved. info:eu-repo/semantics/closedAccess All rights reserved http://www.europeana.eu/rights/rr-f/ info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Guirola-Ortiz, J.A. Universidad de Zaragoza (orcid)0000-0002-0113-5121 Garcia-Flores, P. 1011 770 Universidad de Zaragoza Dpto. Microb.Ped.Radio.Sal.Pú. Área Radiol. y Medicina Física 67, 3 (2025), 370-377 Radiología (Barc., Engl. ed) Radiología (Barcelona. English ed.) 2173-5107 967870 http://zaguan.unizar.es/record/166058/files/texto_completo.pdf Postprint 1864105 http://zaguan.unizar.es/record/166058/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:166058 articulos driver 2026-01-19-14:39:09 ARTICLE