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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Oct 21, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Experience with pulmonary endarterectomy: Lessons learned across 17 years.

Varun Shetty1, Julius Punnen1, Pooja Natarajan2

  • 1381800Department of Cardiac Surgery, 501944Narayana Institute of Cardiac Sciences, India.

Asian Cardiovascular & Thoracic Annals
|September 8, 2021
PubMed
Summary

Pulmonary endarterectomy offers curative potential for chronic thromboembolic pulmonary hypertension. This 17-year study shows reduced mortality and improved patient survival and quality of life post-surgery.

Keywords:
Pulmonary endarterectomychronic thromboembolic pulmonary hypertension

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Pulmonary Hypertension

Background:

  • Pulmonary endarterectomy is a curative treatment for chronic thromboembolic pulmonary hypertension (CTEPH).
  • This study details a 17-year experience and management strategy for CTEPH patients undergoing pulmonary endarterectomy.

Purpose of the Study:

  • To evaluate the outcomes of pulmonary endarterectomy in CTEPH patients over a 17-year period.
  • To identify risk factors for in-hospital mortality and assess the impact of the procedure on patient survival and quality of life.

Main Methods:

  • A single-centre retrospective study of 591 CTEPH patients who underwent pulmonary endarterectomy between 2004 and 2020.
  • Analysis of patient demographics, surgical outcomes, in-hospital mortality, and long-term follow-up data.

Main Results:

  • In-hospital mortality decreased by 42% over the study period, from 15.7% to 9.1%.
  • Significant reductions in pulmonary artery systolic pressure and improvements in 6-minute walk test distance were observed post-surgery.
  • Female gender, high pulmonary artery systolic pressure, and use of extracorporeal membrane oxygenation were identified as risk factors for mortality.

Conclusions:

  • Pulmonary endarterectomy demonstrates a learning curve, with improved outcomes over time.
  • High pulmonary vascular resistance is not an absolute contraindication for surgery.
  • Patients experience enhanced survival and quality of life following pulmonary endarterectomy.