Key result
Early surgical embolectomy shows low mortality, supporting expanded use in stable patients with RV dysfunction.
Why the study?
There are inadequate data to establish definitive guidelines for the management of massive pulmonary embolism despite multiple treatment modalities being available.
Does surgical embolectomy improve mortality in patients with acute massive or submassive pulmonary embolism?
Population
Patients with acute massive or submassive pulmonary embolism
Comparison
Surgical embolectomy versus medical thrombolytic therapy and other treatments
Design
Literature review from 1968 to 2008
Authors
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May support expanded use in stable PE with RV dysfunction; leaves open confirmation by randomized trials.
Does surgical embolectomy improve mortality in patients with acute massive or submassive pulmonary embolism?
Surgical embolectomy may be a safe and effective treatment option not just as rescue therapy, but also for hemodynamically stable patients with RV dysfunction following acute pulmonary embolism.
Samoukovic et al. (2010) conducted a review in Acute massive or submassive pulmonary embolism. Surgical embolectomy was evaluated. Surgical embolectomy is a safe procedure with low mortality when performed early, and evidence supports extending its use to hemodynamically stable patients with right ventricular dysfunction.
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