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  • 1
    Electronic Resource
    Electronic Resource
    Diagnostisches und chirurgisches Vorgehen bei Embolisation in die Truncus brachiocephalicus-Bifurkation (1998)
    Springer
    Zeitschrift für Herz-, Thorax- und Gefässchirurgie 12 (1998), S. 157-159 
    Details
    ISSN: 0930-9225
    Keywords: Schlüsselwörter Embolus – Truncus brachiocephalicus – Ballonkatheterembolektomie ; Key words Embolus – innominate artery – balloon catheter embolectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In patients with an acute arterial occlusion of the right upper extremity a Doppler scanning examination should be done before balloon catheter embolectomy. If there is no arterial puls detectable, an angiography should be performed afterwards to localize the embolus. In case of a proximal arterial occlusion of the right arm we recommend this procedure to prevent an embolus dislocation by catheter embolectomy and following cerebral embolization. For direct surgical embolectomy we recommend a supraclavicular incision.
    Notes: Zusammenfassung Bei klinischem Verdacht auf arteriellen Verschluß der rechten oberen Extremität sollte vor retrograder Ballonkatheterembolektomie eine Duplex-Sonographie der A. axillaris durchgeführt werden. Findet sich in der Arterie kein Fluß, sollte eine Angiographie erfolgen, um die Lokalisation des Embolus aufzuzeigen. Bei sehr proximalem Verschluß der arteriellen Strombahn des rechten Armes empfehlen wir dieses Vorgehen, da eine retrograde Katheterembolektomie zu einer Dislokation des Embolus und nachfolgender cerebraler Embolisation führen kann. Für die operative Therapie eignet sich in diesem Fall ein supraclaviculärer Zugang.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003980050033
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  • 2
    Electronic Resource
    Electronic Resource
    Surgical treatment of acute pulmonary embolism (2000)
    Springer
    Intensivmedizin und Notfallmedizin 37 (2000), S. S147 
    Details
    ISSN: 1435-1420
    Keywords: Key words Emergency surgery – pulmonary embolectomy – vena cava filter
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary  Pulmonary embolism is a common event in hospitalized patients. In most cases, pulmonary embolism is asymptomatic and undergoes spontaneous resolution. Pulmonary embolectomy is required when refractory hypotension persists, despite all resuscitative efforts, and a thrombus has clearly been documented by angiography, computed tomography or magnetic resonance angiography. Embolectomy for massive embolism is performed through median sternotomy with the use of cardiopulmonary bypass. Usually the common pulmonary artery is incised and the emboli are extracted using forceps, suction or Fogarty catheters. For chronic embolisation or if no cardiopulmonary bypass is available, a lateral thoracotomy may be performed. The embolus may be removed after proximal occlusion of the pulmonary artery while normal circulation continues in the opposite lung. In patients with high risk of recurrence, the vena cava inferior may be interrupted or a vena cava filter may be implanted. Postoperatively, systemic anticoagulation should be administered for 3 months or longer depending on the patient’s risk profile. Interventional approaches for the treatment of pulmonary embolism are currently under investigation. Their benefit over surgical embolectomy remains to be established.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003900070017
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    Paper (German National Licenses)
    Fulltext
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