Jump to navigation Jump to search

WikiDoc Resources for Embolectomy


Most recent articles on Embolectomy

Most cited articles on Embolectomy

Review articles on Embolectomy

Articles on Embolectomy in N Eng J Med, Lancet, BMJ


Powerpoint slides on Embolectomy

Images of Embolectomy

Photos of Embolectomy

Podcasts & MP3s on Embolectomy

Videos on Embolectomy

Evidence Based Medicine

Cochrane Collaboration on Embolectomy

Bandolier on Embolectomy

TRIP on Embolectomy

Clinical Trials

Ongoing Trials on Embolectomy at Clinical Trials.gov

Trial results on Embolectomy

Clinical Trials on Embolectomy at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Embolectomy

NICE Guidance on Embolectomy


FDA on Embolectomy

CDC on Embolectomy


Books on Embolectomy


Embolectomy in the news

Be alerted to news on Embolectomy

News trends on Embolectomy


Blogs on Embolectomy


Definitions of Embolectomy

Patient Resources / Community

Patient resources on Embolectomy

Discussion groups on Embolectomy

Patient Handouts on Embolectomy

Directions to Hospitals Treating Embolectomy

Risk calculators and risk factors for Embolectomy

Healthcare Provider Resources

Symptoms of Embolectomy

Causes & Risk Factors for Embolectomy

Diagnostic studies for Embolectomy

Treatment of Embolectomy

Continuing Medical Education (CME)

CME Programs on Embolectomy


Embolectomy en Espanol

Embolectomy en Francais


Embolectomy in the Marketplace

Patents on Embolectomy

Experimental / Informatics

List of terms related to Embolectomy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Embolectomy is the emergency surgical removal of emboli which are blocking blood circulation. It usually involves removal of thrombi (blood clots), and is then referred to as thrombectomy. Embolectomy is an emergency procedure often as the last resort because permanent occlusion of a significant blood flow to an organ leads to necrosis. Other involved therapeutic options are anticoagulation and thrombolysis.

Background knowledge

Emboli are abnormal masses of material (which can be solid, liquid or gas) that are carried in the blood stream from one part of the circulation to another causing a blockage (occlusion) of a blood vessel that leads to lack of oxygen supply (ischemia) and finally infarction of tissue downstream of the embolus.

The most common type of emboli are a blood clot generated by thrombosis which has then broken off and is then transported in the blood stream (see embolism).

There are two areas where emboli can form and therefore impact:

  • Arterial emboli form in the left side of the heart or the main arteries, they impact in body tissues but not the lungs, commonly in the brain and the small vessels in the upper and lower limbs
  • Venous emboli arise in veins (for example emboli which form from deep venous thrombosis or DVT) and these impact in the lung (see pulmonary embolism).

Medical uses

Surgical embolectomy for massive pulmonary embolism (PE) has become a rare procedure and is often viewed as a last resort. Thrombolytic therapy has become the treatment of choice.[1]

Surgical or catheter embolectomy is normally performed in patients with pulmonary embolism (formed from venous embolisms). Embolectomy is used for patients with persisting shock despite supportive care and who have an absolute contraindication for thrombolytic therapy.[2] And although other treatments have improved urgent surgical embolectomy or catheter embolectomy may be a life saving procedure in severe pulmonary embolism.[3]

Embolectomies are performed for arterial embolisms in acute limb ischemia. However, there are also other options, such as catheter-directed thrombolysis and anticoagulation with observation.[4]

It can also be used for other ischemias due to embolism for example mesenteric ischemia and stroke.[5]


File:Blausen 0024 Angiojet.png
Illustration of an AngioJet; coronary thrombectomy

Catheter embolectomy

Balloon embolectomy

Typically this is done by inserting a catheter with an inflatable balloon attached to its tip into an artery, passing the catheter tip beyond the clot, inflating the balloon, and removing the clot by withdrawing the catheter. The catheter is called Fogarty, named after its inventor Thomas J. Fogarty.

Possible complications of balloon embolectomy include intimal lesions, which can lead to another thrombosis.[6] The vessel may also be affected by a dissection or rupture or causing cholesterol embolism from atherosclerotic plaques.[6]

Aspiration embolectomy

Catheter embolectomy is also used for aspiration embolectomy, where the thrombus is removed by suction rather than pushing with a balloon.[7] It is a rapid and effective way of removing thrombi in thromboembolic occlusions of the limb arteries below the inguinal ligament,[7] as in leg infarction.

Surgical embolectomy

Surgical embolectomy is the simple surgical removal of a clot following incision into a vessel by open surgery on the artery.[8]


Outcome of embolectomy varies with size and location of the embolus.[citation needed]

In pulmonary embolism recent data shows mortality as being approximately 20%. Although this is a high mortality, it may have life-saving potential in some instances.[9]

See also


  1. Aleksic, Ivan; Kamler, Markus; Herold, Ulf; Massoudy, Parwis; Jakob, Heinz Gunter (June 2005). "Chirurgische Therapie der fulminanten Lungenembolie". Herz (in German). 30 (4): 269–273. doi:10.1007/s00059-005-2701-x. PMID 15965802. Unknown parameter |trans_title= ignored (help)
  2. Sanchez, Olivier; Planquette, Benjamin; Wermert, Delphine; Marie, Elisabeth; Meyer, Guy (Oct 2008). "Embolies pulmonaires graves". Presse Medicale (in French). 37 (10): 1439–1446. doi:10.1016/j.lpm.2008.07.003. Unknown parameter |trans_title= ignored (help)
  3. Gupta, S, Gupta, Brig; Gupta, BM (March 2008). "Acute pulmonary embolism advances in treatment". Journal of the Association of Physicians of India. 56: 185–191. PMID 18697636.
  4. Rutherford, Robert (March 2009). "Clinical staging of acute limb ischemia as the basis for choice of revascularization method: when and how to intervene". Seminars in Vascular Surgery. 22 (1): 5–9. doi:10.1053/j.semvascsurg.2008.12.003. PMID 19298929.
  5. Stead, Latha; Gilmore, Rachel; Bellolio, Fernanda; Rabinstein, Alejandro; Decker, Wyatt (Aug 2008). "Percutaneous clot removal devices in acute ischemic stroke: a systematic review and meta-analysis". Archives of Neurology. 65 (8): 1024–1030. doi:10.1001/archneur.65.8.1024. PMID 18695052.
  6. 6.0 6.1 Kirurgiska åtgärder vid akut ischemi i nedre extremitet. (Google Translate: Surgical measures in acute ischemia of lower extremities.) Pekka Aho och Pirkka Vikatmaa. Finska Läkaresällskapets Handlingar (Finnish Medical Society Documents). No. 1, 2003
  7. 7.0 7.1 Oğuzkurt L, Ozkan U, Gümüş B, Coşkun I, Koca N, Gülcan O (March 2010). "Percutaneous aspiration thrombectomy in the treatment of lower extremity thromboembolic occlusions". Diagn Interv Radiol. 16 (1): 79–83. doi:10.4261/1305-3825.DIR.2654-09.1. PMID 20044798.
  8. MDGuidelines > Arterial Embolism And Thrombosis From The Medical Disability Advisor by Presley Reed, MD. Retrieved on April 30, 2010
  9. Stein, Paul; Alnas, Majd; Beemath, Afzal; Patel, Nikunj (2007-02-01). "Outcome of pulmonary embolectomy". American Journal of Cardiology. 99 (3): 421–423. doi:10.1016/j.amjcard.2006.08.050. PMID 17261411.

External links

Template:Vascular surgery procedures