Surgical embolectomy for acute massive pulmonary embolism: State of the art

Alessandra Iaccarino, Giacomo Frati, Leonardo Schirone, Wael Saade, Elio Iovine, Mizar D'Abramo, Antonio De Bellis, Sebastiano Sciarretta, Ernesto Greco

Research output: Contribution to journalShort surveypeer-review

Abstract

Massive pulmonary embolism (PE) is a severe condition that can potentially lead to death caused by right ventricular (RV) failure and the consequent cardiogenic shock. Despite the fact thrombolysis is often administrated to critical patients to increase pulmonary perfusion and to reduce RV afterload, surgical treatment represents another valid option in case of failure or contraindications to thrombolytic therapy. Correct risk stratification and multidisciplinary proactive teams are critical factors to dramatically decrease the mortality of this global health burden. In fact, the worldwide incidence of PE is 60-70 per 100,000, with a mortality ranging from 1% for small PE to 65% for massive PE. This review provides an overview of the diagnosis and management of this highly lethal pathology, with a focus on the surgical approaches at the state of the art.

Original languageEnglish
Pages (from-to)5154-5161
Number of pages8
JournalJournal of Thoracic Disease
Volume10
Issue number8
DOIs
Publication statusPublished - Jan 1 2018

Keywords

  • Acute pulmonary embolism
  • Cerebrovascular disease
  • Surgical embolectomy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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