scholarly journals Massive Pulmonary Embolism and Paradoxical Migration during Surgical Embolectomy: Role of Transesophageal Echocardiogram

2009 ◽  
Vol 33 (1) ◽  
pp. E20-E22 ◽  
Author(s):  
Haroon Chughtai ◽  
Jose Basora ◽  
Kamrul Khan ◽  
Jyoti Matta
Keyword(s):  
Pulmonary Embolism ◽  
Massive Pulmonary Embolism ◽  
Transesophageal Echocardiogram ◽  
Surgical Embolectomy

Surgical embolectomy for paradoxical cerebral embolism with massive pulmonary embolism

2019 ◽  
Vol 68 (4) ◽  
pp. 385-388 ◽  
Author(s):  
Kaoru Hattori ◽  
Kazuyuki Daitoku ◽  
Satoshi Taniguchi ◽  
Ikuo Fukuda
Keyword(s):  
Pulmonary Embolism ◽  
Massive Pulmonary Embolism ◽  
Cerebral Embolism ◽  
Surgical Embolectomy

scholarly journals Surgical embolectomy for acute massive pulmonary embolism: state of the art

2018 ◽  
Vol 10 (8) ◽  
pp. 5154-5161 ◽  
Author(s):  
Alessandra Iaccarino ◽  
Giacomo Frati ◽  
Leonardo Schirone ◽  
Wael Saade ◽  
Elio Iovine ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
State Of The Art ◽  
Massive Pulmonary Embolism ◽  
Surgical Embolectomy

The Role of Echocardiography in the Management of Patients with Massive Pulmonary Embolism

1997 ◽  
Vol 14 (3) ◽  
pp. 277-281 ◽  
Author(s):  
KEVIN M. HARRIS ◽  
J. CAMERON MUIR ◽  
MICHAEL F. HANEY ◽  
JONATHAN F. PLEHN
Keyword(s):  
Pulmonary Embolism ◽  
Massive Pulmonary Embolism

Treatment of massive pulmonary embolism: the role of pulmonary embolectomy

1975 ◽  
Vol 89 (4) ◽  
pp. 413-418 ◽  
Author(s):  
Joseph S. Alpert ◽  
Roger E. Smith ◽  
Ira S. Ockene ◽  
Joseph Askenazi ◽  
Lewis Dexter ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Massive Pulmonary Embolism ◽  
Pulmonary Embolectomy

scholarly journals Surgical Embolectomy In Massive Acute Pulmonary Embolism: Our Experience

2015 ◽  
Vol 12 (2) ◽  
pp. 83-86
Author(s):  
SV Nemirova ◽  
AP Medvedev ◽  
VV Pichugin ◽  
Krishna Bhandari
Keyword(s):  
Pulmonary Embolism ◽  
Massive Pulmonary Embolism ◽  
Vein Thrombosis ◽  
Medical Academy ◽  
Surgical Embolectomy ◽  
Hospital Deaths ◽  
State Medical Academy ◽  
Deep Vein ◽  
Mean Time

Background and Aims: Pulmonary embolism (PE) is the leading cause of hospital deaths among the non-surgical patients. Our aim was to evaluate the efficacy of surgical embolectomy in massive acute PE.Methods: It was a single centre, prospective study conducted between January 2007 and August 2013 in Specialized Cardiovascular Surgical Hospital of Nizhny Nizhny Novgorod State Medical Academy Nizhny Novgorod, Russia. One hundred and seventy five patients were diagnosed as PE. Only 77 patients were diagnosed as massive pulmonary embolism and were included in this study. Surgical embolectomy was performed without cardiopulmonary bypass through thoracotomy approach only in the involved pulmonary artery. Right atriotomy and evacuation of embolus was done, in cases of right ventricle thrombus.Results: Seventy-seven patients with acute massive PE underwent surgical embolectomy. Four (5.1%) patients died before discharge. Mean time of ICU stay was 70.1±11.0 hours. During six months of follow up after the embolotomy. Eleven (14%) patients had deep vein thrombosis, two had sub-massive PE. During 6 months of follow up 62 patients (81%) had no further episode of venous thrombloembolism.Conclusions: Our study showed surgical embolectomy can be done with good clinical outcome with acceptable mortality rate.Nepalese Heart Journal 2015;12(2):83-86

Pediatric Pulmonary Embolism: Diagnostic and Management Challenges

2016 ◽  
Vol 9 (1) ◽  
pp. 110-113 ◽  
Author(s):  
Christian Lilje ◽  
Aman Chauhan ◽  
Jason P. Turner ◽  
Thomas H. Carson ◽  
Maria C. Velez ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Functional Assessment ◽  
Rare Case ◽  
Three Dimensional ◽  
Massive Pulmonary Embolism ◽  
Pulmonary Angiography ◽  
Computed Tomography Pulmonary Angiography ◽  
Dimensional Reconstruction ◽  
Surgical Embolectomy ◽  
Prophylactic Anticoagulation

A rare case of massive pulmonary embolism is presented in an oligosymptomatic teenager with predisposing factors. Computed tomography pulmonary angiography supported by three-dimensional reconstruction was diagnostic. The embolus qualified as massive by conventional anatomical guidelines, but as low risk by more recent functional criteria. Functional assessment has complemented morphologic assessment for risk stratification in adult patients. Such evidence is scarce in pediatrics. The patient underwent surgical embolectomy, followed by prophylactic anticoagulation, without further events. Diagnostic and management challenges are discussed.

scholarly journals Use of mechanical pulmonary reperfusion and fibrinolysis in acute massive pulmonary embolism requiring extracorporeal membrane oxygenation support: a systematic review and meta-analysis

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
R Chopard ◽  
P Nielsen ◽  
F Ius ◽  
H Pilichowski ◽  
N Meneveau
Keyword(s):  
Systematic Review ◽  
Pulmonary Embolism ◽  
Meta Analysis ◽  
Reperfusion Therapy ◽  
Massive Pulmonary Embolism ◽  
Membrane Oxygenation ◽  
Funding Sources ◽  
Surgical Embolectomy ◽  
Meta Regression ◽  
Va Ecmo

Abstract Background and objectives The optimal pulmonary revascularization strategy in acute massive pulmonary embolism (PE) requiring the implantation extra corporeal membrane oxygenation remains controversial, and data are sparse. Methods We conducted a systematic review and meta-analysis of available evidence regarding the use of mechanical reperfusion (i.e. surgical or catheter-based embolectomy) and fibrinolytic strategies (i.e. systemic fibrinolysis, catheter-directed fibrinolysis, or as stand-alone therapy) in terms of mortality and bleeding outcomes. Results The literature search identified 835 studies, 17 of which were included or a total of 321 PE patients with ECMO. In total, 31.1% were treated with mechanical pulmonary reperfusion, while 78.9% received fibrinolytic strategies. The mortality rate was 23.0% in the mechanical reperfusion group and 43.1% in the fibrinolysis group (Figure). The pooled OR for mortality with mechanical reperfusion was 0.46 (95% CI, 0.213–0.997; I2=28.3%) versus fibrinolysis. The rate of bleeding in PE patients under ECMO was 29.1% in the mechanical reperfusion group and 26.0% in the fibrinolytic reperfusion (OR, 1.09; 95% CI, 0.46–2.54; I2=0.0%) among 10 eligible studies with available bleeding data. The meta-regression model did not identify any relationship between the covariates “more than one pulmonary reperfusion therapy” and “ECMO implantation before pulmonary reperfusion therapy”, and outcomes. Conclusions The results of the present meta-analysis and meta-regression suggest that surgical embolectomy yields the best results, regardless of the timing of VA-ECMO implantation in the reperfusion timeline, and regardless of whether fibrinolysis has been administered or not. FUNDunding Acknowledgement Type of funding sources: None.

scholarly journals Thrombolytic therapy for pulmonary embolism: lessons from recent clinical trials

2015 ◽  
Vol 3 (4) ◽  
Author(s):  
Lexin Wang
Keyword(s):  
Pulmonary Embolism ◽  
Thrombolytic Therapy ◽  
Clinical Studies ◽  
Massive Pulmonary Embolism ◽  
Common Disease ◽  
Thrombolytic Treatment ◽  
Normal Blood Pressure ◽  
Life Saving ◽  
Submassive Pulmonary Embolism

Pulmonary embolism is a common disease that is associated with significant mobility and mortality. Thrombolysis is potentially life saving when used in conjunction with anticoagulant therapy. Indications for thrombolysis for pulmonary embolism are not well defined. In patients with acute massive pulmonary embolism and hypotension, thrombolytic therapy offers some benefits in terms of mortality reduction. The use of thrombolysis in patients with stable haemodynamics has been controversial for more than two decades. Recent clinical studies have indicated that thrombolytic treatment in conjunction with heparin in patients with submassive pulmonary embolism and normal blood pressure can prevent deterioration of the disease and diminish the need for more intensive therapies during hospitalisation. The role of prehospital thrombolytic therapy for acute pulmonary embolism is unclear and further clinical studies are warranted.

scholarly journals Surgical pulmonary embolectomy in a multi-trauma patient: One-center experience in the resource-limited setting

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095375
Author(s):  
Phung Duy Hong Son ◽  
Nguyen Huu Uoc ◽  
Pham Huu Lu ◽  
Doan Quoc Hung ◽  
Hoang-Long Vo
Keyword(s):  
Pulmonary Embolism ◽  
Trauma Patient ◽  
Pulmonary Arteries ◽  
Massive Pulmonary Embolism ◽  
Pulmonary Embolectomy ◽  
Resource Limited ◽  
Good State ◽  
Surgical Embolectomy ◽  
Similar Resource ◽  
The Right

Pulmonary embolism, a serious complication after trauma, may cause sudden death. We discuss an unusual case of 65-year-old woman who had traffic accident with liver injury and open fracture of both tibia and fibula on the right side. She was diagnosed with massive pulmonary embolism on the second day after accident and successfully underwent emergency surgical embolectomy from bilateral pulmonary arteries. There were no postoperative complications. The patient’s good state of health was recorded after 13 months of surgery. Surgical pulmonary embolectomy for such a multi-trauma patient provides valuable experience not only for our institution but also for the countries having similar resource-limited conditions.

Sign in / Sign up

Export Citation Format

Share Document