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

The Annals of thoracic surgery, 2017-03, Vol.103 (3), p.982-990 [Peer Reviewed Journal]

The Society of Thoracic Surgeons ;2017 The Society of Thoracic Surgeons ;Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. ;ISSN: 0003-4975 ;EISSN: 1552-6259 ;DOI: 10.1016/j.athoracsur.2016.11.016 ;PMID: 28159170

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Title:
Surgical Embolectomy for Acute Pulmonary Embolism: Systematic Review and Comprehensive Meta-Analyses
Author: Kalra, Rajat, MBChB ; Bajaj, Navkaranbir S., MD, MPH ; Arora, Pankaj, MD ; Arora, Garima, MD ; Crosland, William A., MD ; McGiffin, David C., MD ; Ahmed, Mustafa I., MD
Subjects: Acute Disease ; Cardiothoracic Surgery ; Embolectomy - adverse effects ; Embolectomy - mortality ; Hospital Mortality ; Humans ; Pulmonary Embolism - mortality ; Pulmonary Embolism - surgery ; Surgery ; Treatment Outcome
Is Part Of: The Annals of thoracic surgery, 2017-03, Vol.103 (3), p.982-990
Description: Surgical pulmonary embolectomy (SPE) is a viable treatment approach for subsets of patients with acute pulmonary embolism. However, outcomes data are limited. We sought to characterize mortality and safety outcomes for this population. Studies reporting inhospital mortality for patients undergoing SPE for acute pulmonary embolism were included. In 56 eligible studies, we found 1,579 patients who underwent 1,590 SPE operations. The pooled inhospital all-cause mortality rate was 26.3% (95% confidence interval: 22.5% to 30.5%). Surgical site complications occurred in 7.0% of operations (95% confidence interval: 4.9% to 9.8%). More investigation is required to define the patient population that would benefit the most from SPE.
Publisher: Netherlands: Elsevier Inc
Language: English
Identifier: ISSN: 0003-4975
EISSN: 1552-6259
DOI: 10.1016/j.athoracsur.2016.11.016
PMID: 28159170
Source: Geneva Foundation Free Medical Journals at publisher websites
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Surgical Embolectomy for Acute Pulmonary Embolism: Systematic Review and Comprehensive Meta-Analyses

The Society of Thoracic Surgeons ;2017 The Society of Thoracic Surgeons ;Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. ;ISSN: 0003-4975 ;EISSN: 1552-6259 ;DOI: 10.1016/j.athoracsur.2016.11.016 ;PMID: 28159170

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