A comparison of surgical pulmonary embolectomy and catheter-directed lysis for life-threatening pulmonary emboli

Catheter-assisted pulmonary embolectomy.

Case presentation: A 65-year-old man presented to the emergency department after a fall and was diagnosed with a fracture of the right femoral neck. He was scheduled for surgical repair the following day. During positioning for arthroplasty, he developed hypotension, tachycardia, and hypoxia, followed by pulseless electric activity. He was resuscitated and maintained on epinephrine and norepine...

the first experience of catheter based pulmonary embolectomy in iran: a new horizon in therapy of massive pulmonary emboli

Surgical Pulmonary Embolectomy.

The First Experience of Catheter Based Pulmonary Embolectomy in Iran: A New Horizon in Therapy of Massive Pulmonary Emboli

Dear Editor, Pulmonary thromboembolism (PTE) is a relatively common and hazardous emergency that may lead to acute life-threatening but potentially reversible right ventricular failure. Three months mortality rate in patients with massive pulmonary embolism and a systolic blood pressure of <90 mmHg is approximately 50%, with most deaths occurring within the first few days after diagnosis. For p...

Surgical Embolectomy for Acute Pulmonary Thromboembolism

Acute pulmonary thromboembolism is a catastrophic event, especially for hospitalized patients. The prognosis of pulmonary thromboembolism depends on the degree of pulmonary arterial occlusion. The mortality of massive pulmonary embolism is reportedly as high as 25% without cardiopulmonary arrest and 65% with cardiopulmonary arrest. In patients with unstable hemodynamics due to pulmonary thrombo...