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Risk factors for pulmonary thromboendarterectomy
- Source :
- The Journal of Thoracic and Cardiovascular Surgery. 99:670-678
- Publication Year :
- 1990
- Publisher :
- Elsevier BV, 1990.
-
Abstract
- Pulmonary thromboendarterectomy is being performed with increasing frequency for incapacitating pulmonary hypertension caused by chronic large-vessel pulmonary embolism. However, patient-related risk factors and procedural complications associated with morbidity and mortality have not been fully defined. From Oct. 1, 1984, to April 10, 1989, we performed pulmonary thromboendarterectomy using deep hypothermia and circulatory arrest in 127 consecutive patients (62.2% male, mean age 50 ± 16 [standard deviation], range 20 to 82 years) in whom the exposure and dissection of the pulmonary arteries and methods for myocardial protection have been standardized. End points for univariate and multivariate analyses of risk factors were reperfusion pulmonary edema leading to respiratory insufficiency as defined by ventilator dependency (≥5 days) (31.5%, 39/124) and hospital mortality (12.6%, 16/127). Multivariate analyses showed that ascites and need for 4 units of blood or more predicted ventilator dependency (p
- Subjects :
- Pulmonary and Respiratory Medicine
Pulmonary thromboendarterectomy
business.industry
medicine.medical_treatment
Respiratory disease
medicine.disease
Pulmonary edema
Pulmonary hypertension
Pulmonary embolism
Anesthesia
medicine.artery
Circulatory system
Pulmonary artery
medicine
Surgery
Risk factor
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00225223
- Volume :
- 99
- Database :
- OpenAIRE
- Journal :
- The Journal of Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi...........3ff195ae4982239c67341ca5b64ffef8
- Full Text :
- https://doi.org/10.1016/s0022-5223(19)36942-9