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https://repository.monashhealth.org/monashhealthjspui/handle/1/27552| Title: | Acute pulmonary embolectomy. | Authors: | He C.;Choong C.K.C.;Smith J.A. ;Mestres C.A.;Kappetein P.A.;Von Segesser L.K. | Monash Health Department(s): | Cardiothoracic Surgery | Institution: | (He, Smith) Department of Cardiothoracic Surgery, Monash University, Monash Medical Centre, Melbourne, Australia (Von Segesser) Department of Cardiovascular Surgery, University Hospital CHUV, Lausanne, Switzerland (Kappetein) Department of Thoracic Surgery, Thoraxcenter, Erasmus MC, Rotterdam Thoraxcenter, Rotterdam, Netherlands (Mestres) Department of Cardiovascular Surgery, Hospital Clinico, University of Barcelona, Barcelona, Spain (Choong) Department of Surgery (MMC), Monash University, Monash Medical Centre and Dandenong Hospital, Melbourne, Australia | Issue Date: | 4-Jun-2013 | Copyright year: | 2013 | Publisher: | European Association for Cardio-Thoracis Surgery (3 Park Street, Windsor, Berkshire SL4 1LU, United Kingdom) | Place of publication: | Netherlands | Publication information: | European Journal of Cardio-thoracic Surgery. 43 (6) (pp 1087-1095), 2013. Date of Publication: June 2013. | Abstract: | Acute pulmonary embolism (PE) is a common condition frequently associated with a high mortality worldwide. It can be classified into non-massive, sub-massive and massive, based on the degree of haemodynamic compromise. Surgical pulmonary embolectomy, despite having been in existence for over 100 years, is generally regarded as an option of last resort, with expectedly high mortality rates. Recent advances in diagnosis and recognition of key qualitative predictors of mortality, such as right ventricular stress on echocardiography, have enabled the re-exploration of surgical pulmonary embolectomy for use in patients prior to the development of significant circulatory collapse, with promising results. We aim to review the literature and discuss the indications, perioperative workup and outcomes of surgical pulmonary embolectomy in the management of acute PE. © The Author 2012. Published by Oxford University Press on behalf of the European Journal of Cardio-Thoracic Surgery. All rights reserved. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1093/ejcts/ezs605 | PubMed URL: | 23220935 [http://www.ncbi.nlm.nih.gov/pubmed/?term=23220935] | ISSN: | 1010-7940 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/27552 | Type: | Review | Subjects: | low drug dose *lung embolism/dt [Drug Therapy] *lung embolism/su [Surgery] lung embolism/dt [Drug Therapy] lung hemorrhage/co [Complication] meta analysis (topic) morbidity outcome assessment postoperative care postoperative complication/co [Complication] preoperative care preoperative evaluation priority journal recurrent disease/su [Surgery] review sternotomy stroke patient surgical technique treatment contraindication treatment failure treatment indication venous thromboembolism/dt [Drug Therapy] enoxaparin/dt [Drug Therapy] heparin/dt [Drug Therapy] heparin/sc [Subcutaneous Drug Administration] low molecular weight heparin/dt [Drug Therapy] low molecular weight heparin/sc [Subcutaneous Drug Administration] warfarin/dt [Drug Therapy] cardiovascular risk *acute disease/dt [Drug Therapy] *acute disease/su [Surgery] acute disease/dt [Drug Therapy] anticoagulant therapy blood clot lysis brain hemorrhage/co [Complication] brain hemorrhage/su [Surgery] brain ischemia/co [Complication] brain ischemia/su [Surgery] cardiovascular mortality concurrent infection/su [Surgery] critically ill patient echocardiography *embolectomy fibrinolysis fibrinolytic therapy human critically ill patient echocardiography *embolectomy fibrinolysis fibrinolytic therapy human low drug dose *lung embolism / *drug therapy / *surgery lung embolism / drug therapy lung hemorrhage / complication meta analysis (topic) morbidity outcome assessment postoperative care postoperative complication / complication preoperative care preoperative evaluation priority journal recurrent disease / surgery review sternotomy stroke patient *acute disease / *drug therapy / *surgery treatment contraindication treatment failure treatment indication venous thromboembolism / drug therapy surgical technique acute disease / drug therapy anticoagulant therapy blood clot lysis brain hemorrhage / complication / surgery brain ischemia / complication / surgery cardiovascular mortality cardiovascular risk concurrent infection / surgery |
Type of Clinical Study or Trial: | Review article (e.g. literature review, narrative review) |
| Appears in Collections: | Articles |
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