Table 1. Summary of recommendations regarding use of systemic thrombolysis or catheter-guided techniques in pregnancy.

Organization	Year	Systemic thrombolysis	Cather-guided techniques
American College of Obstetricians and Gynecologists (ACOG) 7	2018	Thrombolysis indicated for life-threatening or limb-threatening thromboembolism	No discussion
American College of Chest Physicians (ACCP) 8	2012	Thrombolytic therapy is best reserved for life-threatening maternal thromboembolism	No discussion
American Society of Hematology (ASH) 9	2018	If patient has acute pulmonary embolism (PE) and life-threatening hemodynamic instability, administer systemic thrombolysis alongside anticoagulant therapy	More data is required on the effectiveness of catheter-directed thrombolysis in the pregnant population, including patients with limb-threatening ischemia
European Society of Cardiology (ESC) 10	2018	Thrombolysis only in patients with severe hypotension or shock	No discussion
Royal College of Obstetricians and Gynaecologists (RCOG) 11	2015	Patients in shock should be assessed by a multidisciplinary team including the on-call consultant obstetrician and managed on an individual basis regarding intravenous (IV) unfractionated heparin, thrombolytic therapy, or thoracotomy and surgical embolectomy	No discussion