TY - JOUR
T1 - Surgical embolectomy for acute massive pulmonary embolism
T2 - State of the art
AU - Iaccarino, Alessandra
AU - Frati, Giacomo
AU - Schirone, Leonardo
AU - Saade, Wael
AU - Iovine, Elio
AU - D'Abramo, Mizar
AU - De Bellis, Antonio
AU - Sciarretta, Sebastiano
AU - Greco, Ernesto
PY - 2018/1/1
Y1 - 2018/1/1
N2 - 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.
AB - 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.
KW - Acute pulmonary embolism
KW - Cerebrovascular disease
KW - Surgical embolectomy
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U2 - 10.21037/jtd.2018.07.87
DO - 10.21037/jtd.2018.07.87
M3 - Short survey
AN - SCOPUS:85052495570
VL - 10
SP - 5154
EP - 5161
JO - Journal of Thoracic Disease
JF - Journal of Thoracic Disease
SN - 2072-1439
IS - 8
ER -