title: Surgical embolectomy for intermediate-risk acute pulmonary embolism.
abstract: Recent series reported excellent results of surgical embolectomy in patients with acute pulmonary embolism with mortality rates of about 5-9% (range 0-13%). However, very low mortality of patients receiving medical treatment for intermediate-risk pulmonary embolism (1.5 and 2.8% at 7 and 30 days, respectively) was recently reported. Thus, we would like to challenge the indication for surgical embolectomy in the subset of intermediate-risk patients.
authors.affiliation: Réanimation Polyvalente, Centre Hospitalier Universitaire de la Réunion, Saint Denis, France champion.seb@wanadoo.fr.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Champion
authors.affiliation: Chirurgie Cardiaque, Centre Hospitalier Universitaire de la Réunion, Saint Denis, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Braunberger
mesh_terms: D000208:Acute Disease; D017128:Embolectomy / Q000009:adverse effects / Q000401:mortality; D006801:Humans; D018579:Patient Selection; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D018570:Risk Assessment; D012307:Risk Factors; D015912:Thrombolytic Therapy / Q000009:adverse effects / Q000401:mortality; D016896:Treatment Outcome
keywords: Cardiopulmonary bypass; Pulmonary embolism; Right ventricle; Surgery; Thrombosis