ReviewOutcome of Pulmonary Embolectomy
Section snippets
Methods and Results
We used established methods for systemic review.2, 3, 4 A search of the published research in all languages was performed incorporating electronic and manual components. The electronic search was performed using PubMed, which includes Medline, OLDMEDLINE, and Ovid, and the Cochrane Library database. PubMed was searched through June 2006. Search terms were “surgical embolectomy,” “Trendelenburg procedure,” “open embolectomy,” “free floating thrombi,” and “embolectomy matched pulmonary embolism.”
Discussion
Surgical mortality with pulmonary embolectomy has decreased in the past 2 decades but still remains high (20%). The reason for the reduced mortality since 1985 is not clear. Despite a generally high mortality in patients who undergo pulmonary embolectomy, it may have life-saving potential in some instances.
References (46)
- et al.
Antithrombotic therapy for venous thromboembolic disease: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy
Chest
(2004) - et al.
Pulmonary embolectomy with venous inflow-occlusion
Lancet
(1972) Pulmonary embolectomy with preoperative circulatory support
Ann Thorac Surg
(1973)- et al.
Pulmonary embolectomy, heparin, and streptokinase: their place in the treatment of acute massive pulmonary embolism
Am Heart J
(1977) - et al.
Surgical management of massive pulmonary embolism
J Thorac Cardiovasc Surg
(1978) - et al.
Pulmonary embolectomy
Ann Thorac Surg
(1981) - et al.
Pulmonary embolectomy: a 25 year experience
J Thorac Cardiovasc Surg
(1986) - et al.
Pulmonary embolectomy: a 20-year experience at one center
Ann Thorac Surg
(1991) - et al.
Medical compared with surgical treatment for massive pulmonary embolism
Lancet
(1994) - et al.
Open pulmonary embolectomy for treatment of major pulmonary embolism
Ann Thorac Surg
(2004)
Pulmonary embolectomy for acute massive pulmonary embolism
Ann Thorac Surg
Modern surgical treatment of massive pulmonary embolism: results in 47 consecutive patients after rapid diagnosis and aggressive surgical approach
J Thorac Cardiovasc Surg
Management of unsuccessful thrombolysis in acute massive pulmonary embolism
Chest
Association of right ventricular dysfunction with in-hospital mortality in patients with acute pulmonary embolism and reduction in mortality in patients with right ventricular dysfunction by pulmonary embolectomy
Am J Cardiol
The STARD statement for reporting studies of diagnostic accuracy: explanation and elaboration
Ann Intern Med
Empirical evidence of design-related bias in studies of diagnostic tests
JAMA
Systematic reviews: synthesis of best evidence for clinical decisions
Ann Intern Med
Embolectomy for acute massive pulmonary embolism
Surg Gynecol Obstet
Massive pulmonary embolismA new look at surgical management
Arch Surg
Emergency pulmonary embolectomy for massive pulmonary embolism
Circulation
The role of pulmonary embolectomy in venous thromboembolism
J Cardiovasc Surg
Pulmonary embolectomy using extracorporeal circulation
Thorac Cardiovasc Surg
Pulmonary embolectomy for acute massive pulmonary embolism
Ann Surg
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