TY - JOUR
T1 - Surgical Embolectomy for Acute Pulmonary Embolism
T2 - Systematic Review and Comprehensive Meta-Analyses
AU - Kalra, Rajat
AU - Bajaj, Navkaranbir S.
AU - Arora, Pankaj
AU - Arora, Garima
AU - Crosland, William A.
AU - McGiffin, David C.
AU - Ahmed, Mustafa I.
N1 - Publisher Copyright:
© 2017 The Society of Thoracic Surgeons
PY - 2017/3/1
Y1 - 2017/3/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85011016169&partnerID=8YFLogxK
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U2 - 10.1016/j.athoracsur.2016.11.016
DO - 10.1016/j.athoracsur.2016.11.016
M3 - Article
C2 - 28159170
AN - SCOPUS:85011016169
SN - 0003-4975
VL - 103
SP - 982
EP - 990
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 3
ER -
