The technique of pulmonary embolectomy with the use of cardiopulmonary bypass

Sautter, Richard D.

doi:10.1016/s0022-5223(19)43230-3

Cited by 12 publications

(3 citation statements)

References 8 publications

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“…At present the best indication for an emergency operation is a patient in extremis, with sustained peripheral hypotension. Sautter (39) reported 4 survivors in a series of 11 patients after embolectomy with use of the bypass technique. For another series of 11 patients, Beall and Cooley (40) reported a salvage rate of 50 per cent.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Pulmonary Embolism: Modern Concepts and Diagnostic Techniques

Riccitelli

1970

J American Geriatrics Society

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The subject of pulmonary embolism is assuming ever-increasing importance, not only medically but legally. More than ever, the physician should have basic knowledge of the pathophysiology. This article outlines the modern concepts of the mechanisms involved and the etiologic factors. Pulmonary embolism is often difficult to diagnose. A thorough history and ph,ysical examination are fundamental, but there are several good diagnostic aids in the field of radiography, angiography, thermography, lung scanning, ultrasonic procedures, and enzyme and pulmonary function tests. Modern medical treatment is outlined-including preventive therapy, the treatment of shock, and the use of anticoagulants and thrombolytic agents. Surgical techniques include some ingenious new methods. However, the best results are obtained when surgical skill is eombined with good judgment in the.proper selection of cases.

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Section: Surgical Treatmentmentioning

confidence: 99%

Pulmonary Embolism: Modern Concepts and Diagnostic Techniques

Riccitelli

1970

J American Geriatrics Society

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“…Cross und Mowlem (8) sowie Schramm und Mitarbeiter (26) (2,10). Bei der massiven Lungenembolie ist die Angiographie die aussagekräftigste Untersuchungsmethode, die jedoch bei konkurrierenden Lungenkrankheiten diagnostische Schwierigkeiten bereiten kann und Erfahrung voraussetzt (2,9,25).…”

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“…Cross und Mowlem (8) fanden in ihrer Sammelstatistik in 95 von 115 Fällen eine Embolie in beiden Pulmonalarterienästen, bei 13 Fällen in einem von beiden, in neun Fällen eine periphere Embolie. Bei peripherer Embolie fanden sich die Thromben häufig beiderseits (25,28). Rating (23) fand in unserer Klinik bei einer Studie von 127 Fällen tödlicher, nicht operierter Lungenembolien in 67% eine Embolie des Pulmonalisstamms, in 22% eine Embolie in einem der beiden Äste und in 11% in einem mittleren Ast der Arteria pulmonalis.…”

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Lungenembolie

Rivas¹,

BRicks²,

Nier³

et al. 1975

Dtsch med Wochenschr

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Pulmonary embolectomy under cardio-pulmonary bypass was performed in five patients with massive embolism. Two survived and were ultimately discharged; two died after 40 and 101 days, respectively, of the underlying disease; one patient--operated on under a mistaken diagnosis--was maintained under assisted circulation but died after four days of the underlying disease (cardiac failure). Indications for pulmonary embolectomy under cardiopulmonary bypass should be widened, as it is the only life-saving measure in most cases. After moderately severe pulmonary embolism (lobar embolism) indications for surgical intervention must be individualised from case to case.

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A new approach to pulmonary embolism

Pisko-Dubienski

1968

Journal of British Surgery

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The technique of pulmonary embolectomy with the use of cardiopulmonary bypass

Cited by 12 publications

References 8 publications

Pulmonary Embolism: Modern Concepts and Diagnostic Techniques

Pulmonary Embolism: Modern Concepts and Diagnostic Techniques

Lungenembolie

A new approach to pulmonary embolism

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