EMBOLECTOMY

Off-pump pulmonary embolectomy.

Pulmonary embolism is a common clinical condition associated with high mortality. Surgical pulmonary embolectomy (SPE), despite having been in existence for over 100 years, is generally regarded as an option of last resort with high mortality rates. Prompt recognition of predictors of mortality, such as right ventricular stress on echocardiography, helps decision-making for immediate surgical p...

Superior Mesenteric Embolectomy.

This paper reports a successful superior mesenteric embolectomy. The possibility of successful surgical treatment makes its recognition particularly important. In any patient with a known history of cardiovascular disease who presents a sudden severe abdominal pain of obscure origin this diagnosis must be entertained. The pain at first is colicky because of the severe peristalsis which is induc...

Surgical Pulmonary Embolectomy.

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...

Image-guided Embolectomy and Thrombectomy

T he Fogarty Arterial Embolectomy Catheter (Edwards Lifesciences LLC, Irvine, CA) introduced to vascular surgery the concept and capability of remote treatment of arterial pathology. It has become the standard for removal of peripheral emboli and thrombi since its introduction in 1963, and it has generated a variety of imitations. The parallel development of the Seldinger technique and a host o...