Treatment strategy for acute lower limb ischemia: a report of 62 cases

Objective: To investigate the appropriate management for acute limb ischemia (ALI). Methods: The clinical data of 62 patients with ALI treated from March 2011 to September 2014 were analyzed retrospectively. The causes for ALI included acute arterial embolism or thrombosis, inflammatory vascular diseases, and aortic dissection, and all patients had varying degrees of ALI symptoms. According to the clinical categories of ALI and individual conditions, different treatments were performed respectively, which included open surgery (embolectomy, endarterectomy, patch angioplasty or arterial bypass), interventional operation (catheter-directed thromboysis, balloon dilatation or stenting), hybrid procedures or medication treatment alone. Results: Treatment success was achieved in 48 cases (77.4%); 13 cases (21.0%) were subjected to amputation , among which, the amputation rate of those with inflammatory vascular disease was 77.8%, and 3 cases died (due to acute cerebral infarction, acute renal failure and heart failure, respectively). Fifty-five patients were followed ·下肢动脉疾病专题研究·