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Publication Name World Journal of Cardiology
Manuscript ID 120186
Country Russia
Category Cardiac & Cardiovascular Systems
Manuscript Type Systematic Reviews
Article Title Anticoagulants vs thrombolytic therapy for the management of right heart thrombus in pulmonary embolism: A systematic review
Manuscript Source Invited Manuscript
All Author List Kristina G Pereverzeva, Sergey S Yakushin and Natalia N Peregudova
Funding Agency and Grant Number
Corresponding Author Sergey S Yakushin, Department of Hospital Therapy with a Course in Medical and Social Expertise, Federal State Budgetary Educational Institution of Higher Education I.P. Pavlov Ryazan State Medical University of the Ministry of Health of the Russian Federation, 96 Stroykova Street, Ryazan 390026, Russia. s.yakushin@rzgmu.ru
Key Words Right heart thrombi; Pulmonary embolism; Thrombolytic therapy; Anticoagulants; Mortality; Heparin; Hemodynamic instability
Core Tip Management of patients with right heart thrombi in pulmonary embolism (PE) remains challenging. This meta-analysis of 205 patients did not reveal a significant advantage of routine thrombolytic therapy over isolated anticoagulation in reducing mortality. Our data do not support universal use of either strategy. Treatment decisions should be individualized, and clinicians should follow current guidelines, which recommend thrombolysis for hemodynamically unstable patients with massive PE.
Citation Pereverzeva KG, Yakushin SS, Peregudova NN. Anticoagulants vs thrombolytic therapy for the management of right heart thrombus in pulmonary embolism: A systematic review. World J Cardiol 2026; In press
Received
2026-02-28 02:06
Peer-Review Started
2026-02-28 02:06
First Decision by Editorial Office Director
2026-04-04 02:27
Return for Revision
2026-04-04 02:27
Revised
2026-04-21 17:59
Publication Fee Transferred
Second Decision by Editor
2026-05-06 03:17
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-06 07:44
Articles in Press
2026-05-06 07:44
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1949-8462 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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