Surgical Management and Mechanical Circulatory Support in High-Risk Pulmonary Embolisms: Historical Context, Current Status, and Future Directions

Published: January 23, 2023

3D illustration of man with thrombus
  • This Scientific Statement focuses on the surgical management of acute pulmonary embolism (PE), particularly in high-risk patients, clarifying the latest evidence for various surgical techniques, considers potential shortcomings of historical literature and its impact on current practice, and important gaps in knowledge in this field.
  • Over the last two decades, there has been a growing body of literature describing the use of surgical treatments including surgical embolectomy (SE) and/or mechanical circulatory support (MCS) in acute PE.
  • The authors suggest areas for action from the PE treatment community to improve the understanding of surgical strategies and patient outcomes. This includes the need for a refined definition of high-risk PE, more clinical trials, registries, and metrics on treatment efficacy, and an increased effort on education and awareness.