Outcome of Pulmonary Embolectomy

In view of the importance of pulmonary embolectomy as a possible treatment option in highly compromised patients with acute pulmonary embolism, a systematic review of immediate surgical outcomes was performed. Pooled data from 46 reported case series of patients operated from 1961 to 2006 showed an...

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Bibliographic Details
Published in:The American journal of cardiology 2007-02, Vol.99 (3), p.421-423
Main Authors: Stein, Paul D., MD, Alnas, Majd, MD, Beemath, Afzal, MD, Patel, Nikunj R., MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood clots
Cardiology
Cardiology. Vascular system
Cardiovascular
Clinical outcomes
Embolectomy - methods
Humans
Medical sciences
Pulmonary arteries
Pulmonary Embolism - mortality
Pulmonary Embolism - surgery
Retrospective Studies
Survival Rate - trends
Thoracic surgery
Treatment Outcome
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Summary:In view of the importance of pulmonary embolectomy as a possible treatment option in highly compromised patients with acute pulmonary embolism, a systematic review of immediate surgical outcomes was performed. Pooled data from 46 reported case series of patients operated from 1961 to 2006 showed an average mortality of 389 of 1,300 patients (30%). In patients operated on before 1985, the average mortality was 32%, compared with 20% in patients operated from 1985 to 2005. In patients who experienced cardiac arrest before pulmonary embolectomy, the operative mortality was 59% compared with 29% in patients who did not have preoperative cardiac arrest. In conclusion, despite generally high mortality in patients who undergo pulmonary embolectomy, it may have life-saving potential in some instances.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2006.08.050