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Pipin Kojodjojo: How to Treat a Combination of Pulmonary Embolism and an Active Intracranial Hemorrhage?
Mar 6, 2026, 12:35

Pipin Kojodjojo: How to Treat a Combination of Pulmonary Embolism and an Active Intracranial Hemorrhage?

Pipin Kojodjojo, Cardiac Electrophysiologist at Asian Heart and Vascular Centre, Adjunct Associate Professor at Yong Loo Lin School of Medicine, National University of Singapore, shared on LinkedIn about a recent article he and his colleagues co-authored, adding:

”Blood thinners are essential treatment for massive blood clots, but disastrous when bleeding.

So, how do you treat a patient facing both—life-threatening pulmonary emboli (blood clots in the lung) and an active intracranial hemorrhage—all happening at the exact same time?

It is one of the most challenging paradoxes in medicine.

Our multidisciplinary team recently faced this exact scenario twice and devised a novel strategy to successfully extract the clots AND stop the bleeding.

We have shared our approach in Acute and Critical Care.

We hope this serves as a valuable resource for colleagues who encounter this complex clinical dilemma in the future.”

Title: Managing symptomatic intermediate or high-risk pulmonary embolism presenting concomitantly with intracranial bleeding: case series and literature review

Authors: Pipin Kojodjojo, Keith YC Goh, Chieh Yang Koo, Peter Chang, Philip SS Koh

Read the Full Article on Acute and Critical Care

Pipin Kojodjojo: How to Treat a Combination of Pulmonary Embolism and an Active Intracranial Hemorrhage?

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