Surgical pulmonary embolectomy in a community hospital

Zachary J. Osborne, Peter Rossi, John Aucar, Sadru Dharamsy, Scott Cook, Brian Wheatley

Research output: Contribution to journalArticlepeer-review

Abstract

Background Surgical pulmonary embolectomy (SPE) is indicated for a pulmonary embolism associated with hemodynamic instability. A review of the literature demonstrates that most studies of SPE are conducted at large academic medical centers. This series is from a 325-bed community hospital. Methods A retrospective chart review was performed of patients undergoing SPE from January 2008 to December 2012. All patients aged >18 years were reviewed for 30-day mortality, length of hospital stay, comorbidities, and preoperative hemodynamic parameters. Results Fifteen patients (7 men and 8 women; median age, 55.5 years; range, 20-72 years) underwent SPE. There were 2 deaths (13.3%). Four of the patients underwent catheter-directed interventions before SPE. The mean length of hospital stay was 12 days. Conclusions These data suggest that SPE is associated with favorable outcomes in the appropriate community setting, and the mortality rate seen in this study compares favorably with the nationwide average of 27.2%.

Original languageEnglish (US)
Pages (from-to)337-341
Number of pages5
JournalAmerican Journal of Surgery
Volume207
Issue number3
DOIs
StatePublished - Mar 2014

Keywords

  • Community hospital
  • Pulmonary embolectomy
  • Pulmonary embolism
  • Venous thromboembolism

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Surgical pulmonary embolectomy in a community hospital'. Together they form a unique fingerprint.

Cite this