"4"^^ . "3"^^ . . . "11" . . "right atrial thrombus; massive embolization to the pulmonary artery; thrombolysis; surgical embolectomy"@en . "Kardiochirurgick\u00E1 embolektomie u masivn\u00ED embolizace do plicnice" . "[8E6982D66920]" . "3-4" . "Surgical embolectomy in massive embolization to the pulmonary artery"@en . "In the absence of a rapid diagnosis and aggressive treatment, acute embolization to te pulmonary artery is often fatal. Due to its high mortality rates reported tobe arround 40%, surgicalembolectomy was virtually used in the long term only in patients in extremely poor condition in whom medication therapy had failed. As experience increases, surgical embolectomy becomes an increasingly safe method that can be performed with a low mortality rate and, compared to conservative medication therapy, with lower rates of haemorrhagic events and recurrence of pulmonary embolization. Recently, many authors have advocated the use of surgical embolectomy in centrally localized embolism to the pulmonary artery in haemodynamically unstable patients. The present cse shows that embolectomy can be chosen even in eledrly patients in whom preoperative cardiopulmonary resuscitation is required. This method should no longer be reserved only for patients with massive embolization to the pulmonary artery in cardiogenic shock in whom all the other options have failed."@en . . . . . "Kardiochirurgick\u00E1 embolektomie u masivn\u00ED embolizace do plicnice"@cs . "15110" . . "Sk\u00E1la, Tom\u00E1\u0161" . . . . "Akutn\u00ED embolizace do plicnice je bez rychl\u00E9 diagn\u00F3zy a agresivn\u00ED l\u00E9\u010Dby \u010Dasto fat\u00E1ln\u00ED.Chirurgick\u00E1 embolektomie se d\u00EDky sv\u00E9 vysok\u00E9 mortalit\u011B ud\u00E1van\u00E9 doposud kolem 40% dlouhodob\u011B pou\u017E\u00EDvala prakticky jen u pacient\u016F v extr\u00E9mn\u011B \u0161patn\u00E9m stavu, u kter\u00FDch selhala medikament\u00F3zn\u00ED terapie. Chirurgick\u00E1 embolektomie je s rostouc\u00ED zku\u0161enost\u00ED st\u00E1le bezpe\u010Dn\u011Bj\u0161\u00ED metoda, kterou lze prov\u00E9st s n\u00EDzkou mortalitou a v porovn\u00E1n\u00ED s konzervativn\u00ED medikament\u00F3zn\u00ED terapi\u00ED s ni\u017E\u0161\u00ED \u010Detnost\u00ED hemoragick\u00FDch p\u0159\u00EDhod a rekurence plicn\u00ED embolizace. V posledn\u00ED dob\u011B je \u0159adou autor\u016F doporu\u010Dov\u00E1no pou\u017Eit\u00ED chirurgick\u00E9 embolektomie u centr\u00E1ln\u011B lokalizovan\u00E9 embolizace do plicnice i v p\u0159\u00EDpad\u011B nutnosti p\u0159edopera\u010Dn\u00ED kardiopulmon\u00E1ln\u00ED resuscitace. tato metoda by ji\u017E nem\u011Bla b\u00FDt rezervov\u00E1na pouzepro pacienty s masivn\u00ED embolizac\u00ED do plicnice v kardiogenn\u00EDm \u0161oku, u kter\u00FDch selhaly v\u0161echny ostatn\u00ED mo\u017Enosti." . . . "Kardiochirurgick\u00E1 embolektomie u masivn\u00ED embolizace do plicnice" . "Hutyra, Martin" . "144373" . "RIV/61989592:15110/12:33138709" . "Akutn\u00ED embolizace do plicnice je bez rychl\u00E9 diagn\u00F3zy a agresivn\u00ED l\u00E9\u010Dby \u010Dasto fat\u00E1ln\u00ED.Chirurgick\u00E1 embolektomie se d\u00EDky sv\u00E9 vysok\u00E9 mortalit\u011B ud\u00E1van\u00E9 doposud kolem 40% dlouhodob\u011B pou\u017E\u00EDvala prakticky jen u pacient\u016F v extr\u00E9mn\u011B \u0161patn\u00E9m stavu, u kter\u00FDch selhala medikament\u00F3zn\u00ED terapie. Chirurgick\u00E1 embolektomie je s rostouc\u00ED zku\u0161enost\u00ED st\u00E1le bezpe\u010Dn\u011Bj\u0161\u00ED metoda, kterou lze prov\u00E9st s n\u00EDzkou mortalitou a v porovn\u00E1n\u00ED s konzervativn\u00ED medikament\u00F3zn\u00ED terapi\u00ED s ni\u017E\u0161\u00ED \u010Detnost\u00ED hemoragick\u00FDch p\u0159\u00EDhod a rekurence plicn\u00ED embolizace. V posledn\u00ED dob\u011B je \u0159adou autor\u016F doporu\u010Dov\u00E1no pou\u017Eit\u00ED chirurgick\u00E9 embolektomie u centr\u00E1ln\u011B lokalizovan\u00E9 embolizace do plicnice i v p\u0159\u00EDpad\u011B nutnosti p\u0159edopera\u010Dn\u00ED kardiopulmon\u00E1ln\u00ED resuscitace. tato metoda by ji\u017E nem\u011Bla b\u00FDt rezervov\u00E1na pouzepro pacienty s masivn\u00ED embolizac\u00ED do plicnice v kardiogenn\u00EDm \u0161oku, u kter\u00FDch selhaly v\u0161echny ostatn\u00ED mo\u017Enosti."@cs . "Kardiochirurgick\u00E1 embolektomie u masivn\u00ED embolizace do plicnice"@cs . . . . "Interven\u010Dn\u00ED a akutn\u00ED kardiologie" . "RIV/61989592:15110/12:33138709!RIV13-MSM-15110___" . "T\u00E1borsk\u00FD, Milo\u0161" . "CZ - \u010Cesk\u00E1 republika" . "1213-807X" . . . "I" . "Gwozdziewicz, Marek" . "4"^^ . . "Surgical embolectomy in massive embolization to the pulmonary artery"@en .