Case report: interventional thrombectomy with haemodynamic support by veno-arterial extracorporeal membrane oxygenation as a rescue strategy in acute pulmonary embolism refractory to systemic thrombolysis

Interventional thrombectomy may be considered in patients with high-risk PE and failed thrombolytic therapy. Support by a VA-ECMO should be considered in order to prevent transient haemodynamic instability associated with accidental, catheter-induced clot mobilization from the vena cava or right atrium.