11 doctors weighed in:

What is the treatment for blood clots in the lung (pulmonary embolus)?

11 doctors weighed in
Dr. Tchaka Shepherd
Surgery - Trauma
4 doctors agree

In brief: Acute PE

Treatment of a pulmonary embolus essentially depends on the clinical symptoms at the time of diagnosis.
The symptoms can be many and varied. Treatment options:. Blood thinners , thrombolytic s, ivc filter or embolectomy( surgical removal of blood clots). First priority is to stabilize patient if needed. The decision tree will be based on what is deemed most effective for the patient

In brief: Acute PE

Treatment of a pulmonary embolus essentially depends on the clinical symptoms at the time of diagnosis.
The symptoms can be many and varied. Treatment options:. Blood thinners , thrombolytic s, ivc filter or embolectomy( surgical removal of blood clots). First priority is to stabilize patient if needed. The decision tree will be based on what is deemed most effective for the patient
Dr. Tchaka Shepherd
Dr. Tchaka Shepherd
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4 doctors agree

In brief: Anticoagulation

Heparin and then warfarin for about six months and followup pulmonary testing rarely surgery or embolectomy, or lower extremity interventions.

In brief: Anticoagulation

Heparin and then warfarin for about six months and followup pulmonary testing rarely surgery or embolectomy, or lower extremity interventions.
Dr. Creighton Wright
Dr. Creighton Wright
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1 comment
Dr. Bahman Omrani
Also, thromolytic therapy (e.g. Streptokinase & rtPA) for severe acute presentations.
Dr. Ted King
Phlebology
2 doctors agree

In brief: CT scan of lungs

The beginning of all good testing is having the doctor take a good history and do a good physical exam. If the results are strongly suggestive of someone having a blood clot in the lungs (pulmonary embolism-pe), then a blood test called a d-dimer might be ordered.
If that is low, you don't have a clot. If high, the gold standard of testing for a pe is a spiral cat scan of the lungs with infusion.

In brief: CT scan of lungs

The beginning of all good testing is having the doctor take a good history and do a good physical exam. If the results are strongly suggestive of someone having a blood clot in the lungs (pulmonary embolism-pe), then a blood test called a d-dimer might be ordered.
If that is low, you don't have a clot. If high, the gold standard of testing for a pe is a spiral cat scan of the lungs with infusion.
Dr. Ted King
Dr. Ted King
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Dr. Michael Sanders
Internal Medicine - Pulmonology

In brief: See below

typically, blood thinners such as coumadin are prescribed.
If there embolus is large, there is a therapy called EKOS, where an ultrasound probe is placed right where the clot is and another probe is placed with it to deliver medication to basically dissolve the clot. In my experience, this has worked very well.

In brief: See below

typically, blood thinners such as coumadin are prescribed.
If there embolus is large, there is a therapy called EKOS, where an ultrasound probe is placed right where the clot is and another probe is placed with it to deliver medication to basically dissolve the clot. In my experience, this has worked very well.
Dr. Michael Sanders
Dr. Michael Sanders
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