Pulmonary embolism

Surgical embolectomy is underused

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1955 (Published 2 April 2013)
Cite this as: BMJ 2013;346:f1955

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  1. Ed W K Peng, specialty registrar in cardiothoracic surgery1,
  2. John Simpson, professor in respiratory medicine1,
  3. Logan Thirugnanasothy, specialty registrar in respiratory medicine1,
  4. Patrick Kesteven, consultant haematologist1,
  5. John H Dark, professor in cardiothoracic surgery and cardiopulmonary transplant1
  1. 1Freeman Hospital, Newcastle upon Tyne NE3 2XZ, UK
  1. epeng{at}nhs.ne

Pulmonary embolism remains a major healthcare burden and some patients still die from this preventable disease, perhaps because of limited knowledge about available treatments for massive pulmonary embolism.1

Systemic thrombolysis has been the mainstay for massive pulmonary embolism. Other options include transcatheter clot removal and locally directed thrombolysis, but their application is …

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