ACC/AHA guidelines surgical embolectomy: Difference between revisions

< ACC
Jump to navigation Jump to search
No edit summary
No edit summary
Line 12: Line 12:
*[[Pulmonary embolism acute|Acute PE]] patients who require surgical excision of a right atrial thrombus or paradoxical embolism.
*[[Pulmonary embolism acute|Acute PE]] patients who require surgical excision of a right atrial thrombus or paradoxical embolism.


 
==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>==
{{cquote|
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]===
'''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]])}}''.


==References==
==References==

Revision as of 18:29, 31 October 2011

Pulmonary Embolism Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pulmonary Embolism from other Diseases

Epidemiology and Demographics

Risk Factors

Triggers

Natural History, Complications and Prognosis

Diagnosis

Diagnostic criteria

Assessment of Clinical Probability and Risk Scores

Pulmonary Embolism Assessment of Probability of Subsequent VTE and Risk Scores

History and Symptoms

Physical Examination

Laboratory Findings

Arterial Blood Gas Analysis

D-dimer

Biomarkers

Electrocardiogram

Chest X Ray

Ventilation/Perfusion Scan

Echocardiography

Compression Ultrasonography

CT

MRI

Treatment

Treatment approach

Medical Therapy

IVC Filter

Pulmonary Embolectomy

Pulmonary Thromboendarterectomy

Discharge Care and Long Term Treatment

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Follow-Up

Support group

Special Scenario

Pregnancy

Cancer

Trials

Landmark Trials

Case Studies

Case #1

ACC/AHA guidelines surgical embolectomy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on ACC/AHA guidelines surgical embolectomy

CDC on ACC/AHA guidelines surgical embolectomy

ACC/AHA guidelines surgical embolectomy in the news

Blogs on ACC/AHA guidelines surgical embolectomy

Directions to Hospitals Treating ACC/AHA guidelines surgical embolectomy

Risk calculators and risk factors for ACC/AHA guidelines surgical embolectomy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]

Synonyms and keywords: PE

Overview

Emergency surgical embolectomy with cardiopulmonary bypass is an effective treatment strategy for

  • Massive PE patients
  • Submassive PE with RV dysfunction when contraindications preclude thrombolysis.
  • Acute PE patients who require surgical excision of a right atrial thrombus or paradoxical embolism.

ACC/AHA Guidelines- Recommendations for Catheter Embolectomy and Fragmentation (DO NOT EDIT)[1]

Class IIa

1.Depending on local expertise, either catheter embolectomy and fragmentation or surgical embolectomy is reasonable for patients with massive PE and contraindications to fibrinolysis(Level of Evidence: C)

.

References

  1. Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, Goldhaber SZ; et al. (2011). "Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association". Circulation. 123 (16): 1788–830. doi:10.1161/CIR.0b013e318214914f. PMID 21422387.

Template:WH Template:WS