Journal Title: تابستان 95
Article title: Investigation the Clinical and Prognostic Protests of the Patients with Massive and Acute Pulmonary Artery Embolism after Surgery during 2006 to 2012 at Masih Daneshvari Hospital of Tehran
Article PDF File:
Page From: 53 To: 63
Introduction & Objective: Despite recent advances in both medical and surgical treatment strategies, no defined treatment algorithm exists for massive pulmonary embolism (PE). Our objective was to analyze our experience with surgical embolectomy in patients with acute massive pulmonary embolism.
Materials & Methods: In an observational study, 15 patients were studied who suffered from acute massive pulmonary embolism. They had visited the cardiothoracic ward of the Masih Daneshvari Hospital and undergone embolectomy, in which the cardiopulmonary bypass technique was used and the median sternotomy surgical procedure was performed, between the years 2006 and 2012. Acquired data were analyzed statistically with the SPSS 17, and T-test and Non parametric test were used whenever was necessary.
Results: The average age of the patients was 52.13 years. The average time between diagnosis of the disease and the surgical operation was 44.53±53.40 hours, and the average time spent at the ICU after the operation was 12.26±9.95 days. Twelve patients suffered from short breath, six from pleuritic pain, five from coughs, three from hemoptysis, and two from weakness and premature tiredness. Tachycardia was observed in 66.6 percent of the patients and tachypnia in 60 percent. Fourteen patients had undergone echocardiography and sonography had been performed on 11 patients. Four patients (20%) had undergone fibrinolytic therapy before the operation. Forty percent of the patients died.
Conclusions: Results of this study, show that pulmonary embolectomy is a suitable procedure with acceptable results in treating acute massive pulmonary embolism.
Acute Massive Pulmonary Embolism, Embolectomy, Mortality
|دکتر ضرغام حسین احمدی||First Author|
|دکتر ساویز پژهان||Other Author|
|دکتر حمید رضا خورشیدی||Other Authorfirstname.lastname@example.org|
|دکتر بابک شریف کاشانی||Other Author|
|دکتر زهرا انصاری اول||Other Author|
|دکتر حبیب الله امامی||Other Author|
|دکتر امین نیایش||Other Author|