Surgical Pulmonary Embolectomy Outcomes for Acute Pulmonary Embolism.

The Annals of Thoracic Surgery
Jae Hwan ChoiVakhtang Tchantchaleishvili

Abstract

Acute pulmonary embolism (PE) is associated with significant mortality. Surgical embolectomy is a viable treatment option; however, it remains controversial as a result of variable outcomes. This review investigates patient outcomes after surgical embolectomy for acute PE. An electronic search was performed to identify articles reporting surgical embolectomy for treatment of PE. 32 studies were included comprising 936 patients. Demographic, perioperative, and outcome data were extracted and pooled for systematic review. Mean patient age was 56.3 years (95% confidence interval [CI], 52.5, 60.1), and 50% were male (95% CI, 46, 55); 82% had right ventricular dysfunction (95% CI, 62, 93), 80% (95% CI, 67, 89) had unstable hemodynamics, and 9% (95% CI, 5, 16) experienced cardiac arrest. Massive PE and submassive PE were present in 83% (95% CI, 43, 97)] and 13% (95% CI, 2, 56) of patients, respectively. Before embolectomy, 33% of patients (95% CI, 14, 60) underwent systemic thrombolysis, and 14% (95% CI, 8, 24) underwent catheter embolectomy. Preoperatively, 47% of patients were ventilated (95% CI, 26; 70), and 36% had percutaneous cardiopulmonary support (95% CI, 11, 71). Mean operative time and mean cardiopulmonary bypass time were...Continue Reading

References

Feb 1, 1991·The Annals of Thoracic Surgery·G MeyerP Even
Jan 1, 1994·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·P StulzE Grädel
Aug 5, 1961·JAMA : the Journal of the American Medical Association·D A COOLEYJ K ALEXANDER
Apr 13, 2006·Chest·Nicolas MeneveauJean-Pierre Bassand
Aug 12, 2008·The Journal of Thoracic and Cardiovascular Surgery·Alexander KadnerFriedrich Eckstein
Mar 23, 2011·Circulation·Michael R JaffUNKNOWN American Heart Association Council on Arteriosclerosis, Thrombosis and Vascular Biology
Jul 12, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Khalil ZarrabiAzimeh Azimifar
Jan 26, 2012·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Ahmet KorkmazYilmaz Bulbul
Apr 3, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thierry AymardThierry Carrel
Dec 12, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Cheng HeCliff K C Choong
Jul 15, 2015·The Annals of Thoracic Surgery·Robert C NeelyMarzia Leacche
Mar 20, 2016·The Journal of Thoracic and Cardiovascular Surgery·William Brent KeelingOmar M Lattouf
Nov 28, 2017·The Annals of Thoracic Surgery·Chetan PasrijaZachary N Kon
Feb 18, 2018·The Journal of Thoracic and Cardiovascular Surgery·Chetan PasrijaZachary N Kon
Jul 15, 2018·The Journal of Thoracic and Cardiovascular Surgery·Pranav LoyalkaKeshava Rajagopal
Nov 27, 2018·The Annals of Thoracic Surgery·Zachary N KonBartley P Griffith
Jun 13, 2019·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Belinda Rivera-LebronUNKNOWN PERT Consortium
Nov 12, 2019·Texas Heart Institute Journal·Fahad AlqahtaniMohamad Alkhouli

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Citations

Aug 8, 2020·BMJ : British Medical Journal·Lisa DuffettMelissa A Forgie
Apr 22, 2020·The Annals of Thoracic Surgery·Stefan P Wirtz
Feb 24, 2021·The Annals of Thoracic Surgery·Jae Hwan ChoiVakhtang Tchantchaleishvili
Dec 1, 2020·The Annals of Thoracic Surgery·Kaushalendra Rathore

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