Champion Sébastien, Braunberger Eric
Réanimation Polyvalente, Centre Hospitalier Universitaire de la Réunion, Saint Denis, France
Chirurgie Cardiaque, Centre Hospitalier Universitaire de la Réunion, Saint Denis, France.
Interact Cardiovasc Thorac Surg. 2015 Feb;20(2):274-5. doi: 10.1093/icvts/ivu376. Epub 2014 Nov 18.
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.
近期的系列报道显示，急性肺栓塞患者接受外科血栓切除术的效果良好，死亡率约为5%-9%（范围为0%-13%）。然而，最近有报道称，中危肺栓塞患者接受药物治疗的死亡率非常低（7天和30天的死亡率分别为1.5%和2.8%）。因此，我们想对中危患者亚组中外科血栓切除术的适应证提出质疑。
