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Short- and long-term outcomes for the surgical treatment of acute pulmonary embolism
- Source :
- Innovative Surgical Science, Vol 3, Iss 4, Pp 271-276 (2018), Innovative Surgical Sciences
- Publication Year :
- 2018
- Publisher :
- Walter de Gruyter GmbH, 2018.
-
Abstract
- ObjectivesAcute pulmonary embolism can be a life-threatening condition with a high mortality. The treatment choice is a matter of debate. The early and late outcomes of patients treated with surgical pulmonary embolectomy for acute pulmonary embolism in a single center were analyzed.MethodsAll consecutive patients operated on for pulmonary embolism between January 2002 and March 2017 were reviewed. Patient demographics and pre- and postoperative clinical data were retrieved from our patient registry, and risk factors for in-hospital and long-term mortality were identified.ResultsIn total, 175 patients (mean age 59±3 years, 50% male) were operated on for acute pulmonary embolism. In-hospital mortality was 19% (34/175). No differences were found when comparing surgery utilizing a beating heart or cardioplegic arrest. Risk factors for in-hospital mortality were age >70 years [odds ratio (OR) 4.8, confidence interval (CI) 1.7–13.1, p=0.002], body surface area 2 (OR 4.7, CI 1.6–13.7, p=0.004), preoperative resuscitation (OR 14.1, CI 4.9–40.8, pConclusionSurgical pulmonary embolectomy as a therapy for acute pulmonary embolism demonstrates excellent short- and long-term results in patients with an otherwise life-threatening disease, especially in younger patients with a body surface area >2 m2 and pulmonary embolism caused by deep vein thrombosis. Pulmonary embolectomy should therefore not be reserved as a treatment of last resort for clinically desperate circumstances.
- Subjects :
- Body surface area
medicine.medical_specialty
pulmonary embolism
RD1-811
business.industry
Deep vein
surgical embolectomy
Original Articles
Odds ratio
Disease
030204 cardiovascular system & hematology
Single Center
medicine.disease
Thrombosis
Confidence interval
Pulmonary embolism
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Medicine
030212 general & internal medicine
business
Subjects
Details
- ISSN :
- 23647485
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Innovative Surgical Sciences
- Accession number :
- edsair.doi.dedup.....6f02ed5db7968c44af37a411c5f8de36