Contemporary Management of PE Patients in SHOCK-The Role of Surgery in PE

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Video Summary

The history of surgery for pulmonary embolism (PE) is closely linked to the development of the heart-lung machine by John Gibbon. Although surgery for PE relies on limited data, it's crucial for specific cases, like massive PE treatment failures or when thrombolytics pose risks. Surgical embolectomy allows direct removal of clots, though it's more challenging for distal clots. The procedure often follows bypass and cooling techniques. While surgical outcomes vary, medical management has similar survival rates. With new catheter devices available, surgery is now a last resort. Long-term patient outcomes depend on underlying health conditions.

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Amy Hackman, MD

Keywords

pulmonary embolism

surgical embolectomy

heart-lung machine

catheter devices

thrombolytics