Authors
Nish Patel, Nileshkumar J Patel, Kanishk Agnihotri, Sidakpal S Panaich, Badal Thakkar, Achint Patel, Chirag Savani, Nilay Patel, Shilpkumar Arora, Abhishek Deshmukh, Parth Bhatt, Carlos Alfonso, Mauricio Cohen, Alfonso Tafur, Mahir Elder, Tamam Mohamed, Ramak Attaran, Theodore Schreiber, Cindy Grines, Apurva O Badheka
Publication date
2015/12/1
Journal
Catheterization and cardiovascular interventions
Volume
86
Issue
7
Pages
1219-1227
Description
Objective The aim of the study was to assess the utilization of catheter‐directed thrombolysis (CDT) and its comparative effectiveness against systemic thrombolysis in acute pulmonary embolism (PE). Background Contemporary real world data regarding utilization and outcomes comparing systemic thrombolysis with CDT for PE is sparse. Methods We queried the Nationwide Inpatient Sample from 2010 to 2012 using the ICD‐9‐CM diagnosis code 415.11, 415.13, and 415.19 for acute PE. We used propensity score analysis to compare outcomes between systemic thrombolysis and CDT. Primary outcome was in‐hospital mortality. Secondary outcome was combined in‐hospital mortality and intracranial hemorrhage (ICH). Results Out of 110,731 patients hospitalized with PE, we identified 1,521 patients treated with thrombolysis, of which 1,169 patients received systemic thrombolysis and 352 patients received CDT …
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