Pulmonary Embolism & Thrombectomy: Diagnosis, Risks, and Life-Saving Treatment
Pulmonary embolism (PE) is a sudden, potentially life-threatening condition caused by a blood clot that blocks blood flow in the lungs. It often begins as a deep vein thrombosis (DVT) in the legs, which then travels through the bloodstream and lodges in a pulmonary artery. When left untreated, PE can result in severe complications or death.
At FKMD, we offer advanced, image-guided treatments such as catheter-directed thrombectomy to quickly restore circulation and reduce long-term risk—without the need for open surgery.
What Is a Pulmonary Embolism?
A PE occurs when a blood clot—usually from the leg—travels to the lungs and becomes lodged in a pulmonary artery. This blockage prevents oxygen from reaching lung tissue and can strain the heart. In severe cases, PE can be fatal within minutes.
Recognizing the Symptoms of PE
- Sudden shortness of breath
- Chest pain that worsens with deep breathing
- Rapid or irregular heartbeat
- Fainting or dizziness
- Low oxygen levels
- Leg pain or swelling
Who’s at Risk?
- Recent surgery or trauma
- Prolonged immobility (bed rest, long flights)
- Obesity
- Smoking
- Pregnancy or postpartum period
- Cancer or chemotherapy
- Hormone therapy or birth control pills
- Family history of blood clots
How Pulmonary Embolism Is Diagnosed
- D-dimer test to check for clotting activity
- CT pulmonary angiography (CTPA) to visualize clots
- Ultrasound of the legs to identify DVTs
- EKG or chest X-ray to rule out other conditions
Standard Treatment Options
Most cases begin with anticoagulants:
- Heparin
- Warfarin
- DOACs (e.g., rivaroxaban, apixaban)
These medications prevent new clots and stop existing ones from growing but do not dissolve them.
Advanced Option: Catheter-Directed Thrombectomy
For large or life-threatening PEs, catheter-directed thrombectomy provides a minimally invasive alternative to systemic clot-busting drugs.
Through a small incision, a catheter is threaded into the lungs to suction, break up, or deliver medication directly to the clot.
Advantages:
- Quick symptom relief
- Less bleeding risk than systemic thrombolysis
- No open surgery
- Faster recovery and discharge
Aftercare and Recovery
- Anticoagulants for 3–6 months
- Follow-up imaging and blood tests
- Clotting disorder workup (if necessary)
- Lifestyle changes to prevent recurrence
If Left Untreated
- Sudden death
- Permanent lung damage
- Right heart failure
- Chronic pulmonary hypertension (CTEPH)
Prevention Tips
- Stay active during long travel or recovery
- Maintain a healthy weight
- Don’t smoke
- Know your family history
- Use compression stockings if advised
Why FKMD?
Our expert interventional radiology team delivers cutting-edge care using minimally invasive tools to treat pulmonary embolisms safely and effectively. From diagnosis to thrombectomy, we help patients recover with confidence.
Take the First Step
If you or a loved one is showing signs of PE, call us immediately for an evaluation.
📞 Call 650-404-8445 to speak with our team today.

