Massive Embolism: Knife versus PCI

Author:

Tohme Scarlett12,Newman Joshua S.12ORCID,Gasparis Christopher2,Manetta Frank12ORCID

Affiliation:

1. Department of Cardiovascular and Thoracic Surgery, North Shore University Hospital, Northwell Health, Manhasset, New York

2. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York

Abstract

AbstractPulmonary embolism is the third most common cardiovascular syndrome with an estimated up to 25% of patients presenting with sudden death. For those who survive, a mainstay of management for patients with hemodynamic stability is anticoagulation; however, recommendations and options are rapidly changing for patients with submassive or massive pulmonary embolism with hemodynamic instability. Catheter-based and surgical approaches offer efficacious management options for unstable patients or patients with contraindications to anticoagulation; however, both approaches have inherent benefits and risk. This article seeks to offer a brief review on the recommendations and options for management of pulmonary embolism from both surgical and catheter-based perspectives.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine

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