Relatamos um caso de tromboembolismo pulmonar maciço em paciente idosa, com grande instabilidade clínica e hemodinâmica, que foi submetida a intervenção percutânea precoce. Realizamos embolectomia com cateter de aspiração Pronto 0,035" 10 F e trombólise intra-arterial (dose reduzida), com excelente resultado.
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