A hybrid approach to the surgical treatment of acute pulmonary embolism with a high risk of early death


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Abstract

The paper presents surgical treatment experience using hybrid technologies in 65 patients with acute pulmonary embolism with a high risk of early death and the presence of a floating thrombus in the inferior vena cava system. Thromboembolectomy with simultaneous implantation of a cava filter in the presence of a floating thrombus within the «golden» hour reduces the risk of death and repeated pulmonary embolism in the early postoperative period. A modern approach with the participation of a multidisciplinary team, the presence of a hybrid operating room, which combines high - tech equipment, a highly qualified medical and nursing team, allows one stage to provide a full scope of surgical treatment for patients with pulmonary embolism and save the lives of more than 90% of patients.

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About the authors

A. N Koltunov

3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: a.koltunov@mail.ru
Krasnogorsk, Moscow region, Russia

A. N Lishchuk

3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

A. V Esipov

3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

G. A Esion

3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

L. E Brovko

3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

I. G Karpenko

3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

V. I Baksheev

3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: baksheevld@mail.ru
Krasnogorsk, Moscow region, Russia

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Copyright (c) 2021 Koltunov A.N., Lishchuk A.N., Esipov A.V., Esion G.A., Brovko L.E., Karpenko I.G., Baksheev V.I.


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