Legends
Figure 1. The patient with high-risk PE showing hemodynamic collapse, who were successfully treated with ECMO as an adjunct to EKOS acoustic pulse thrombolysis. 3.52 L. ECMO flow and 1.72L/min/m2 cardiac index was achieved and the patient stabilized hemodynamically.
Figure 2. ( A) Selective Pulmonary angiography shows a massive pulmonary embolism in the right main pulmonary artery (B) The EKOS infusion catheter was positioned at the distal edge of the thrombus (C) Post treatment angiography shows complete resolution of clot burden and normal perfusion of the right lung.
Figure 3. (A) Initial computed tomography image shows large saddle thrombus in main pulmonary artery was presented in CT with contrast enhancement. (B) Follow up CT revealed that, pulmonary thrombus in main pulmonary artery was totally disappeared.