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Table 3 Indications for surgical thrombectomy in high-risk PE patients associated with cardiac arrest

From: Intraoperative circulatory arrest secondary to high-risk pulmonary embolism. Case series and updated literature review

Failure of systemic thrombolysis

Patent foramen ovale

Detection of an embolus in the right chambers

Central emboli

Miller score > 20/34 (on CTA)

Pregnancy

Contraindication for systemic thrombolysis

 - SNC neoplasia

 - History of intracranial hemorrhage

 - Stroke (within the last 3 months)

 - Surgery or major trauma in the past month

 - Hemorrhagic diathesis

 - Active bleeding

  1. CNS: Central nervous system, CTA: computed tomography angiography