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Int J Angiol 2020; 29(03): 183-188
DOI: 10.1055/s-0040-1709501
Review Article

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

Mateo Porres-Aguilar 
1   Division of Adult Thrombosis Medicine, McGill University/Centre of Excellence of Thrombosis and Anticoagulation Care (CETAC), Jewish General Hospital, Montreal, Quebec, Canada
,
Belinda N. Rivera-Lebron
2   Division of Pulmonary and Critical Care Medicine, University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania
,
Javier E. Anaya-Ayala 
3   Section of Vascular Surgery and Endovascular Therapy, Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ), Ciudad de México, México
,
María Cristina Guerrero de León
4   Department of Internal Medicine and Intensive Care Unit; Hospital de Ginecologia y Obstetricia; UMAE 23; Instituto Mexicano del Seguro Social (IMSS); Monterrey, Mexico
,
Debabrata Mukherjee 
5   Division of Cardiovascular Diseases, Texas Tech University Health Sciences Center, El Paso, Texas
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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

perioperative period - pulmonary embolism - risk stratification - diagnosis - therapies - prognosis - pulmonary embolism response teams


Publication History

Article published online:
14 May 2020

© 2020. Thieme. All rights reserved.

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