Pulmonary endarterectomy: an alternative to circulatory arrest and deep hypothermia: mid-term results

Abstract

The results confirm that adequate removal of pulmonary artery obstructive lesions can also be achieved with an operative procedure that avoids or reduces the use of DHCA while allowing a bloodless field during PEA interventions. This technique may limit the well known adverse effects of DHCA due to organ hypoperfusion, improving the postoperative recovery of the patients.

Pulmonary Thromboendarterectomy for Chronic Thromboembolic Pulmonary Hypertension : A Systematic Review

“…Four prospective studies were identified, 30,38,40,46) ; other studies were either clearly retrospective 6,15,22,25,29,35,42,44,47,48) or not specified. 21,26,33,43) Two studies presented results in a series of CTEPH patients treated surgically and medically 40,47) ; others included only series of surgically treated patients. There was one retrospective study from Austria that compared hemodynamic indices between PTE and non-PTE patients with a 1-year follow-up, but could not be included in the current review due to insufficient data to meet the inclusion criteria.…”

“…6) Seven series had more than 100 patients, 6,15,25,38,40,44,47) five had between 50 and 100 patients (range 50-88), 22,29,30,35,43) and the other seven series had less than 50 patients each (range 23-41). 21,26,33,36,42,46,48) The surgical technique was clearly described in one study, 6) and some modifications to Jamieson's technique were described in two studies. 21,36) T h i r t y-d ay m o r t a l it y wa s r e p o r t e d by a l l studies.…”

“…21,26,33,36,42,46,48) The surgical technique was clearly described in one study, 6) and some modifications to Jamieson's technique were described in two studies. 21,36) T h i r t y-d ay m o r t a l it y wa s r e p o r t e d by a l l studies. 6,15,21,22,25,26,29,30,33,35,36,38,40,[42][43][44][46][47][48] Morbidity was reported in 12 series.…”

“…Only the most recent publications with the most complete data set from each institute were retained. As a result, 19 studies 6,15,21,22,25,26,29,30,33,35,36,38,40,[42][43][44][46][47][48] with a total number of 2729 patients were included for appraisal and data extraction ( Table 2).…”

“…25,29,33,42) With the exception of one multicenter study from the UK 40) and another study from Germany including two centers, 36) other studies were from single tertiary referral centers. 6,15,21,22,25,26,29,30,33,35,38,[42][43][44][46][47][48] The largest series included 988 patients who underwent isolated PTE from 1997 to 2007 at UCSD. 6) Seven series had more than 100 patients, 6,15,25,38,40,44,47) five had between 50 and 100 patients (range 50-88), 22,29,30,35,43) and the other seven series had less than 50 patients each (range 23-41).…”