Key result
Pulmonary embolectomy demonstrates ~95% survival to discharge in massive and submassive PE.
Why the study?
Significant improvements in outcomes after pulmonary embolectomy have broadened its indications, warranting a review of preoperative comorbidities and postoperative outcomes.
Does pulmonary embolectomy improve survival to discharge in patients with submassive and massive pulmonary embolism?
Population
20 patients with submassive and massive pulmonary embolism with right ventricular dysfunction
Comparison
Pulmonary embolectomy without thrombolysis due to contraindications
Design
Retrospective chart review observational study
Follow-up
To discharge
Authors
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Supports pulmonary embolectomy in selected massive/submassive PE cases; hypothesis-generating and should not yet change practice.
Observational (n=20)
No
Does pulmonary embolectomy improve survival to discharge in patients with submassive and massive pulmonary embolism?
Pulmonary embolectomy is a safe and effective treatment for submassive and massive pulmonary embolism, achieving a 95% survival to discharge rate even in patients with significant hemodynamic compromise.
Worku et al. (2014) conducted an observational in Submassive and Massive Pulmonary Embolism (n=20). Pulmonary embolectomy was evaluated on Survival to discharge. Pulmonary embolectomy for massive and submassive pulmonary embolism achieved a 95% survival to discharge rate in a cohort of 20 patients.
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