ACC/AHA guidelines surgical embolectomy: Difference between revisions

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===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]===
===[[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]])}}''.
'''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]])}}''.
==Guidelines Resources==


==References==
==References==

Revision as of 18:30, 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 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)

.

Guidelines Resources

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.

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