Table 1_Zero anticoagulation, zero thrombolysis: successful management of massive pulmonary embolism following hemorrhagic transformation of acute ischemic stroke: a case report.xlsx

BackgroundThe treatment of patients with severe pulmonary embolism complicated by intracerebral hemorrhage is challenging: anticoagulation or thrombolysis, essential for treating pulmonary embolism, can substantially worsen intracranial hemorrhage and threaten life.
Case presentationWe report a case of a 78-year-old female who developed hemorrhagic transformation following acute ischemic stroke, complicated by massive pulmonary embolism and rapidly progressing to shock. In this case, emergent percutaneous mechanical thrombectomy was successfully performed under a zero-anticoagulation and zero-thrombolysis strategy, resulting in hemodynamic stabilization.
ConclusionThis case provides valuable evidence supporting the feasibility of purely mechanical percutaneous intervention in high-risk, complex clinical scenarios.