ACC/AHA guidelines surgical embolectomy
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Pulmonary Embolism Microchapters |
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Diagnosis |
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Pulmonary Embolism Assessment of Probability of Subsequent VTE and Risk Scores |
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Treatment |
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Follow-Up |
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Special Scenario |
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Trials |
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ACC/AHA guidelines surgical embolectomy On the Web |
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Directions to Hospitals Treating ACC/AHA guidelines surgical embolectomy |
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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]
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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) |
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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.