Key result
Pulmonary embolectomy for acute PE is linked to ~21% operative mortality, worsened by poor LV function.
Why the study?
Real-world outcomes and risk factors associated with pulmonary embolectomy for acute pulmonary embolism were not well characterized.
What are the real-world outcomes and risk factors for mortality and MACE in patients undergoing pulmonary embolectomy for acute pulmonary embolism?
Population
355 patients who underwent pulmonary embolectomy for acute PE in Japan
Design
Retrospective observational study using a cardiovascular surgery database
Follow-up
30 days
Authors
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Alerts clinicians to elevated risks in unstable patients; extends real-world data while leaving open comparative effectiveness versus thrombolysis.
Observational (n=355)
Yes
What are the real-world outcomes and risk factors for mortality and MACE in patients undergoing pulmonary embolectomy for acute pulmonary embolism?
Pulmonary embolectomy for acute pulmonary embolism carries a 20.6% operative mortality rate in a real-world cohort, which is acceptable given the high proportion of patients presenting with hemodynamic instability.
Minakawa et al. (2018) conducted an observational in Acute pulmonary embolism (n=355). Pulmonary embolectomy was evaluated on Operative death (in-hospital or 30-day death) (95% CI 16.4-22.7). Pulmonary embolectomy for acute pulmonary embolism was associated with an operative mortality rate of 20.6%, with heart failure, poor left ventricular function, and respiratory failure identified as independent risk factors for death.
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