Pulmonary embolectomy: A 25 year experience

Clarke, David B.; Abrams, L. D.

doi:10.1016/s0022-5223(19)35798-8

Cited by 98 publications

(16 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Three centers included a total of 100 patients undergoing embolectomy with the inflow occlusion technique. [10][11][12] The remaining were performed on cardiopulmonary bypass.…”

Section: Overviewmentioning

confidence: 99%

“…Among the 15 reports with preoperative hemodynamic data, the operative mortality among the 26% of patients who suffered a preoperative cardiac arrest was a staggering 59%. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] The results in this high-risk group have not changed much over the years. It was 54% in the reports published since 1990 and 61% among those reports that only included patients since 1978.…”

Section: Risk Factors For Operative Death Preoperative Cardiac Arrestmentioning

confidence: 99%

See 1 more Smart Citation

Emergency Surgical Pulmonary Embolectomy

Aklog¹

2001

Seminars in Vascular Medicine

View full text Add to dashboard Cite

Emergency surgical pulmonary embolectomy is a highly effective treatment for selected patients with pulmonary embolism. Rapid noninvasive diagnostic modalities allow proper patient selection based on anatomic location of the emboli, right heart function, and contraindications to thrombolysis. Operative results are a direct reflection of the preoperative hemodynamic status, the degree of underlying cardiopulmonary disease, and attention to minimizing surgical trauma and protecting the right heart. An operative mortality of 10% or less and excellent long-term outcomes can be expected if the procedure is performed prior to cardiovascular collapse as part of a multidisciplinary strategy which emphasizes careful patient selection, rapid diagnosis, triage, and transport.

show abstract

“…10 Three centers included a total of 100 patients undergoing embolectomy with the inflow occlusion technique. [10][11][12] The remaining were performed on cardiopulmonary bypass.…”

Section: Overviewmentioning

confidence: 99%

Section: Risk Factors For Operative Death Preoperative Cardiac Arrestmentioning

confidence: 99%

Emergency Surgical Pulmonary Embolectomy

Aklog¹

2001

Seminars in Vascular Medicine

View full text Add to dashboard Cite

show abstract

“…4,6,7 Of more importance, however, is the recognition that the bulk of operative deaths occur among patients who had preoperative PEA. 14,15 This may partly explain the worse operative results in early series, as APE was reserved for patients in extremis. This also is consistent with our experience-all of our early deaths occurred in patients who presented with PEA and ongoing CPR.…”

Section: Discussionmentioning

confidence: 99%

A More Aggressive Approach to Emergency Embolectomy for Acute Pulmonary Embolism

Sareyyüpoğlu

Greason

Suri

et al. 2010

Mayo Clinic Proceedings

View full text Add to dashboard Cite

show abstract

“…High complication and mortality rates for thromboembolectomy do not justify consideration in medical centers without emergent access and sufficient experience. [93][94][95] Other investigational techniques being studied include extraction of thrombus via percutaneous devices.…”

Section: Treatmentmentioning

confidence: 99%

Thromboembolism Occurrence and Diagnosis in the Medical Intensive Care Unit

Aksamit¹

2001

Semin Thromb Hemost

View full text Add to dashboard Cite

Venous thromboembolism (VTE) represents an unrelenting and formidable challenge in the critical care setting even for the most experienced clinician. The morbidity and mortality attributed to untreated VTE have been substantiated by increasing series of epidemiologic and postmortem studies. As a larger group of the general population grows older, with increasing requirements for critical care services, challenges for the intensivist in the diagnosis and management of VTE are expected to grow. Moreover, despite the tremendous development of many critical care technologies, complexities of medical conditions commonly encountered in the critically ill have detracted from suspicion of VTE and made prompt recognition difficult. The approach to diagnosis of VTE should optimize diagnostic yield and outcomes with responsible use of resources. Key to an appropriate approach of VTE diagnosis in the intensive care unit is an understanding of the predisposing risk factors--pretest probability and the strengths and weaknesses of available diagnostic tools. Rational use of ultrasound, impedance plethysmography, computed tomography (CT), echocardiography, contrast venography, angiography, and D-dimer assays have provided the clinicians with a more substantial armamentarium, albeit incomplete, to facilitate diagnosis of VTE. The best use of these diagnostic tests often are dependent on local availability and expertise as part of a multidisciplinary team. With application of sound clinical principles in identifying select patients at risk and disciplined use of diagnostic technologies using simple algorithms, improvements in the diagnosis and management of VTE in the intensive care unit may be expected.

show abstract

Pulmonary embolectomy: A 25 year experience

Cited by 98 publications

References 11 publications

Emergency Surgical Pulmonary Embolectomy

Emergency Surgical Pulmonary Embolectomy

A More Aggressive Approach to Emergency Embolectomy for Acute Pulmonary Embolism

Thromboembolism Occurrence and Diagnosis in the Medical Intensive Care Unit

Contact Info

Product

Resources

About