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Table 2 Case reports of intraoperative systemic thrombolysis for high-risk PE

From: Intraoperative circulatory arrest secondary to high-risk pulmonary embolism. Case series and updated literature review

Article type

Author

Year

Surgery

Thrombolytic

Outcome

5 case series [25]

L. Scheeren

1994

Surgical VT

tPA: 20 to 90 mg

3 survivals, NNS

2 deaths

Case report [26]

D. Jackson

2006

Liver Transplant

tPA: two 50 mg doses

Survived, NNS

Case report [27]

M. Wenk

2011

Cesarean section

Reteplase: two 10 UI doses

Survival, NNS

2 Case series [28]

S. Aniskevich

2015

Liver Transplant

tPA: 50 mg divided in 10-mg bolus followed by 5-mg increments every 5 min

1 Death

1 Survival, lower extremity weakness

Case report [29]

J. Cao

2015

Distal femur fracture surgery

tPA: 5 mg initial dose followed by infusion of 45 mg/h

Survival, NNS

Case report [30]

K. Roy

2018

Coronary artery bypass graft

tPA: 10 mg initial bolus followed by infusion of 90 mg/h

Survival, NNS

Case report [31]

R. Holland

2020

Spine surgery

tPA: two 50-mg doses.

Survival, NNS

Case report [32]

A. Karakosta

2023

Cesarean Section

tPA: 15 mg

Survival, NNS

  1. VT: Venous thrombectomy, tPA: alteplase, NNS: no neurological sequelae