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Commentary: Is It Time to Change Management Guidelines and Referral Patterns for PE?

      Surgical embolectomy and VA ECMO are important salvage strategies for massive PE. Early referral to centers equipped with surgical and ECMO expertise could substantially improve outcome.
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      Linked Article

      • Comparison of Surgical Embolectomy and Veno-arterial Extracorporeal Membrane Oxygenation for Massive Pulmonary Embolism
        Seminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 3
        • Preview
          Massive pulmonary embolism (MPE) is associated with a 20-50% mortality rate with guideline directed therapy. MPE treatment with surgical embolectomy (SE) or venoarterial extracorporeal membrane oxygenation (VA-ECMO) have shown promising results. In the context of a surgical management strategy for MPE, a comparison of outcomes associated with VA-ECMO or SE was performed. A retrospective review of a single institution cardiac surgery database was performed, identifying MPE treated with SE or VA-ECMO between 2005-2020.
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