Pulmonary thrombectomy: Difference between revisions
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In [[thoracic surgery]], a '''pulmonary thrombectomy''', is an [[emergency procedure]] that removes [[blood clot|clotted]] [[blood]] ([[thrombus]]) from the [[pulmonary artery|pulmonary arteries]]. | |||
Mechanical thrombectomies can be surgical (surgical thrombectomy) or percutaneous (percutaneous thrombectomy).<ref>Casazza F, Roncon L, Greco F. Pulmonary embolism: treatment of the acute episode. Ital Heart J. 2005 Oct;6(10):818-23. PMID 16270473.</ref> | Mechanical thrombectomies can be surgical (surgical thrombectomy) or percutaneous (percutaneous thrombectomy).<ref>Casazza F, Roncon L, Greco F. Pulmonary embolism: treatment of the acute episode. Ital Heart J. 2005 Oct;6(10):818-23. PMID 16270473.</ref> | ||
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[[Category:Thoracic surgery]] | [[Category:Thoracic surgery]] | ||
[[Category:Surgical procedures]] | [[Category:Surgical procedures]] | ||
Revision as of 17:35, 13 September 2011
In thoracic surgery, a pulmonary thrombectomy, is an emergency procedure that removes clotted blood (thrombus) from the pulmonary arteries.
Mechanical thrombectomies can be surgical (surgical thrombectomy) or percutaneous (percutaneous thrombectomy).[1]
Surgical thrombectomies were once popular but were abandoned because of poor long-term outcomes. Recently, in selected patients, they have gone through a resurgence with the revision of the surgical technique.[2]
Relation to PTE
Pulmonary thrombectomies and pulmonary thromboendarterectomies (PTEs) are both operations that remove thrombus. Aside from this similarity they differ in many ways.
- PTEs are done non-emergently whilst pulmonary thrombectomies are typically done as an emergency procedure.
- PTEs typically are done using hypothermia and full cardiac arrest.
- PTEs are done for chronic pulmonary embolism, thrombectomies for severe acute pulmonary embolism.
- PTEs are generally considered a very effective treatment, surgical thrombectomies are an area of some controversy and their effectiveness a matter of some debate in the medical community.
See also
References
- ↑ Casazza F, Roncon L, Greco F. Pulmonary embolism: treatment of the acute episode. Ital Heart J. 2005 Oct;6(10):818-23. PMID 16270473.
- ↑ Augustinos P, Ouriel K. Invasive approaches to treatment of venous thromboembolism. Circulation. 2004 Aug 31;110(9 Suppl 1):I27-34. PMID 15339878. Free Full Text.