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Review
. 2020 Sep;29(3):183-188.
doi: 10.1055/s-0040-1709501. Epub 2020 May 14.

Perioperative Acute Pulmonary Embolism: A Concise Review with Emphasis on Multidisciplinary Approach

Mateo Porres-Aguilar  1 , Belinda N Rivera-Lebron  2 , Javier E Anaya-Ayala  3 , María Cristina Guerrero de León  4 , Debabrata Mukherjee  5
Affiliations
Review

Perioperative Acute Pulmonary Embolism: A Concise Review with Emphasis on Multidisciplinary Approach

Mateo Porres-Aguilar et al. Int J Angiol. 2020 Sep.

Abstract

Perioperative acute pulmonary embolism represents a relatively rare complication; however, it could be very serious and devastating in some cases. Its diagnosis could be particularly challenging, especially in the intraoperative period. Herein, we emphasize some key concepts with the aim to perform an early and appropriate risk stratification, diagnostic and therapeutic approach in a multidisciplinary fashion, a brief overview on thromboprophylaxis, with the main objective to improve outcomes and survival in these challenging patients.

Keywords: diagnosis; perioperative period; prognosis; pulmonary embolism; pulmonary embolism response teams; risk stratification; therapies.

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Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Schematic flow diagram suggesting multidisciplinary assessment, diagnostic, and therapeutic approach in perioperative acute PE. CTPA, computed tomography pulmonary angiogram; EtCO2, end tidal carbon dioxide; LV, left ventricle; PE, pulmonary embolism; PERT, pulmonary embolism response team; SBP, systolic blood pressure; SCI, spinal cord injury; TEE, transesophageal echocardiogram; TTE, transthoracic echocardiogram; VTE, venous thromboembolism.
See this image and copyright information in PMC

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