Document Detail


Embolectomy, catheter extraction, or disruption of pulmonary emboli: editorial review.
MedLine Citation:
PMID:  9363068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hippocrates said, "For extreme illness, extreme measures are warranted." Massive pulmonary embolism is an uncommon clinical problem for which extreme measures, such as surgical embolectomy, appear warranted. Since the application of cardiopulmonary bypass to surgical embolectomy in 1961, a number of uncontrolled retrospective case series suggest that nearly one half of patients survive when they undergo emergent embolectomy, in spite of preoperative cardiac arrest. Transvenous catheter embolectomy or catheter disruption of thrombi offers alternatives for hypotensive patients who do not require cardiopulmonary resuscitation. In addition, pulmonary artery stent placement can improve pulmonary artery flow for selected patients who have massive pulmonary embolism.
Authors:
C G Elliott
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in pulmonary medicine     Volume:  1     ISSN:  1070-5287     ISO Abbreviation:  Curr Opin Pulm Med     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1997-12-05     Completed Date:  1997-12-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9503765     Medline TA:  Curr Opin Pulm Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  298-302     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Embolectomy*
Humans
Pulmonary Embolism / mortality,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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