Do you consider thrombocytopenia a contraindication for fibrinolytic therapy for a massive PE?
Does your platelet threshold (if it exists) differ between Catheter Directed Thrombolysis (CDT) vs. Intravenous Systemic Thrombolysis (IVT)?
Answer from: at Academic Institution
If one has access to mechanical thrombectomy devices and operators, they should be considered before systemic thrombolytics unless the massive PE is causing imminent danger to the patient/patient is going to code/die, in which case the risk of dying from said PE is higher than potential bleeding eve...