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| {{Pulmonary embolism}}
| | #REDIRECT [[Pulmonary embolism ACC/AHA guidelines surgical embolectomy]] |
| {{CMG}}
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| '''Associate Editors-in-Chief:''' [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]] [mailto:urastogi@perfuse.org]
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| '''''Synonyms and keywords:''''' PE
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| ==Overview==
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| Emergency surgical embolectomy with [[cardiopulmonary bypass]] is an effective treatment strategy for
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| *[[Pulmonary embolism massive|Massive PE]] patients
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| *[[Pulmonary embolism submassive|Submassive PE]] with RV dysfunction when contraindications preclude thrombolysis.
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| *[[Pulmonary embolism acute|Acute PE]] patients who require surgical excision of a right atrial thrombus or paradoxical embolism.
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| ==ACC/AHA Guidelines- Recommendations for Catheter Embolectomy and Fragmentation (DO NOT EDIT)<ref name="pmid21422387">{{cite journal| author=Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, Goldhaber SZ et al.| title=Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. | journal=Circulation | year= 2011 | volume= 123 | issue= 16 | pages= 1788-830 | pmid=21422387 | doi=10.1161/CIR.0b013e318214914f | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21422387 }} </ref>==
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| {{cquote|
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| ===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]===
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| '''1.'''Depending on local expertise, either catheter embolectomy and fragmentation or surgical embolectomy is reasonable for patients with massive PE and contraindications to fibrinolysis''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''.
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| '''2.'''Catheter embolectomy and fragmentation or surgical embolectomy is reasonable for patients with massive PE who remain unstable after receiving fibrinolysis ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])}}''.
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| ==Guidelines Resources==
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| *Guidelines on the management of Pulmonary embolism: Management of Massive and Submassive Pulmonary Embolism, Iliofemoral Deep Vein Thrombosis, and Chronic Thromboembolic Pulmonary Hypertension<ref name="pmid21422387">{{cite journal| author=Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, Goldhaber SZ et al.| title=Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. | journal=Circulation | year= 2011 | volume= 123 | issue= 16 | pages= 1788-830 | pmid=21422387 | doi=10.1161/CIR.0b013e318214914f | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21422387 }} </ref>
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| ==References==
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| {{reflist|2}}
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| [[Category:Cardiology]]
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| [[Category:Hematology]]
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| [[Category:Pulmonology]]
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| [[Category:Emergency medicine]]
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| {{WH}}
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| {{WS}}
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