Surgical pulmonary embolectomy in a community hospital

Midterm benefits of surgical pulmonary embolectomy for acute pulmonary embolus on right ventricular function

“…18 Researchers have documented single-center outcomes after SPE. 14,[19][20][21][22] These reports document excellent outcomes with low mortality rates in extremely ill patient populations. Despite these reports, publications citing disparate outcomes persist.…”

Surgical Embolectomy for Acute Pulmonary Embolism: Systematic Review and Comprehensive Meta-Analyses

“…Consequently, there is a renewed interest in alternate treatment modalities for acute PE and, in particular, for hemodynamically unstable PE, such as catheter-based treatment and SPE [9]. Despite the consensus guidelines, SPE has historically been limited to large centers owing to the need for institutional surgical expertise, requirement for cardiopulmonary bypass, and availability of extracorporeal membrane oxygenation (ECMO), as well as heterogeneity in reported outcomes data on efficacy and safety of SPE [5,[11][12][13][14][15][16][17][18][19]. In addition, the emergence of new therapies such as catheter-based therapy and the availability of ECMO have made the clinical role of SPE less clear in clinical practice.…”

Timely embolectomy in acute massive pulmonary embolism prevents catastrophe: An experience from two cases

“…[ 7 8 ] In those patients whose condition worsens despite thrombolysis, surgical intervention should be strongly considered. [ 9 ] Currently, only a few indications for surgical embolectomy have been described which include contraindications to thrombolytic therapy, presence of persistent thrombi in the right heart or pulmonary arteries, or deteriorating hemodynamic status. Early surgical intervention may be associated with a survival benefit in such situations.…”