Pulmonary thrombectomy

Pulmonary thrombectomy

In thoracic surgery, a pulmonary thrombectomy, is an emergency procedure that removes clotted blood (thrombus) from the pulmonary arteries.

Mechanical thrombectomies can be surgical (surgical thrombectomy) or percutaneous (percutaneous thrombectomy). [Casazza F, Roncon L, Greco F. Pulmonary embolism: treatment of the acute episode. Ital Heart J. 2005 Oct;6(10):818-23. PMID 16270473.]

Surgical thrombectomies were once popular but were abandoned because of poor long-term outcomes. Recently, in selected patients, they have gone through a resurgence with the revision of the surgical technique. [Augustinos P, Ouriel K. Invasive approaches to treatment of venous thromboembolism. Circulation. 2004 Aug 31;110(9 Suppl 1):I27-34. PMID 15339878. [http://circ.ahajournals.org/cgi/content/full/110/9_suppl_1/I-27 Free Full Text] .]

Relation to PTE

Pulmonary thrombectomies and pulmonary thromboendarterectomies (PTEs) are both operations that remove thrombus. Aside from this similarity they differ in many ways.
*PTEs are done non-emergently whilst pulmonary thrombectomies are typically done as an emergency procedure.
*PTEs typically are done using hypothermia and full cardiac arrest.
*PTEs are done for chronic pulmonary embolism, thrombectomies for severe acute pulmonary embolism.
*PTEs are generally considered a very effective treatment, surgical thrombectomies are an area of some controversy and their effectiveness a matter of some debate in the medical community.

ee also

*Pulmonary embolism
*Heart-lung machine

References


Wikimedia Foundation. 2010.

Игры ⚽ Нужно решить контрольную?

Look at other dictionaries:

  • Pulmonary embolism — Classification and external resources Chest spiral CT scan with radiocontrast agent showing multiple filling defects both at the bifurcation and in the pulmonary arteries. ICD 10 …   Wikipedia

  • Cardiopulmonary bypass — (CPB) is a technique that temporarily takes over the function of the heart and lungs during surgery, maintaining the circulation of blood and the oxygen content of the body. The CPB pump itself is often referred to as a Heart Lung Machine or the… …   Wikipedia

  • Deep vein thrombosis — DVT redirects here. For other uses, see DVT (disambiguation). Deep vein thrombosis Classification and external resources A deep vein thrombosis in the right leg. Note the swelling and redness. ICD 10 …   Wikipedia

  • Cerebral infarction — Cerebral infarct Classification and external resources CT scan slice of the brain showing a right hemispheric cerebral infarct (left side of image). ICD 10 I 63 …   Wikipedia

  • Stroke — For other uses, see Stroke (disambiguation). Stroke Classification and external resources CT scan slice of the brain showing a right hemispheric ischemic stroke (left side of image). ICD 10 …   Wikipedia

  • Renan Uflacker — (born 1949) is an American physician. Currently he is Professor and Director of Interventional Radiology at the Medical University of South Carolina (MUSC), in Charleston, South Carolina.Education and careerSince 1977, Uflacker has practiced… …   Wikipedia

  • May-Thurner syndrome — Classification and external resources Iliac veins ICD 10 I80.2 …   Wikipedia

  • Norwood procedure — Intervention Diagram of a healthy heart and one suffering from Hypoplastic left heart syndrome. In the heart on the right, note the near absence of the left ventricle, which normally provides systemic circulation. In the Norwood procedur …   Wikipedia

  • Blalock–Taussig shunt — Intervention The arch of the aorta and its branches. In the Blalock–Taussig shunt, blood from the subclavian artery or carotid artery (in red at the top) is redirected to the pulmonary artery (in blue near the center) …   Wikipedia

  • Surgery — This article is about the medical specialty. For other uses, see Surgery (disambiguation). A cardiothoracic surgeon performs a mitral valve replacement at the Fitzsimons Army Medical Center. Surgery (from the Greek …   Wikipedia

Share the article and excerpts

Direct link
… Do a right-click on the link above
and select “Copy Link”