Why the study?
Does pulmonary embolectomy improve operative mortality in patients with acute massive pulmonary embolism?
Population
50 patients with acute massive pulmonary embolism who underwent surgery
Design
Cohort
Authors
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High mortality with identifiable predictors warrants cautious, selective use; leaves open randomized comparisons to medical therapy in massive PE.
Does pulmonary embolectomy improve operative mortality in patients with acute massive pulmonary embolism?
Pulmonary embolectomy remains an acceptable procedure for acute massive pulmonary embolism in patients with refractory cardiogenic shock or needing intermittent resuscitation, despite high operative mortality.
Stulz et al. (1994) studied this question.
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