ACC/AHA guidelines surgical embolectomy: Difference between revisions
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*[[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>== | |||
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===[[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
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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 IIa1.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
- ↑ 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.