Catheter-Directed Clot-Busting may offer safer option for dangerous blood clots in the lungs

NCT ID NCT05493163

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study investigates whether delivering a clot-dissolving drug directly into the lung arteries via a thin tube (catheter) can improve outcomes for people with a serious type of pulmonary embolism (a blood clot in the lung). Participants have intermediate-high risk clots, meaning they are at increased risk of complications but not in shock. Half receive the catheter treatment plus standard blood thinners, and half receive standard blood thinners alone. The study tracks deaths, clot recurrence, and heart or breathing collapse within the first week, along with longer-term recovery and quality of life.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

catheter-directed thrombolysis (thrombolytic drug delivered locally via catheter)

What this could lead to

If successful, this approach could reduce deaths and complications from pulmonary embolism without the high bleeding risk seen with systemic clot-busting drugs.

What could go wrong

This is a Phase 4 trial, but the intervention still carries bleeding risks, and the benefit over standard care is not yet proven in a large study.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

pulmonary embolism

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • University Hospital Kralovske Vinohrady

    Prague, Prague, 100 34, Czechia