logo
    [Local arteriovenous wash-out in acute ischemia of the extremities. A method of preventing the revascularization syndrome following thromboembolectomy].
    0
    Citation
    0
    Reference
    10
    Related Paper
    Objective:To evaluate surgical treatment of acute arterial ischemia of the lower extremity and the approach to reducing the complications.Methods:Forty-seven cases of arterial embolism or thrombosis were analyzed retrospectively.Forty-two cases received surgery in addition to thrombolytic therapy,anti-coagulation and vasodilatation,and 5 cases were treated with drugs only.Results:The extremities of 32 cases were saved,11 cases were amputated,4 cases died and 5 cases receiving drug treatment had chronic ischemia.Conclusions:Early diagnosis and proper management are essential to the prognosis of acute arterial ischemia of the lower extremity.
    Arterial embolism
    Arterial Ischemic Stroke
    Limb ischemia
    Citations (0)
    Introduction: Acute limb ischemia is considered as a life threatening disease .After twelve hours of ischemia, chances of saving the ischemic limb are lower (78%), with higher mortality (31%) as well. Methods: A total of 54 patients who underwent surgery for acute non traumatic limb ischemia between January 2013 and December 2020 were retrospectively reviewed. Results: We included 30 women and 24 men; median age was 69 years. Twenty patients (37%) were presented with upper limb ischemia, where as 34 patients (63%) with lower limb ischemia. Mean delay between the onset of symptoms and hospital admission of upper limb ischemia was 22 hours, 35% of Patients were diagnosed at the stage IIA of Rutherford classification, while 65% were diagnosed at the stage of II B. Lower limb ischemia patients were admitted after 28.5 hours, 64.8% of patients were diagnosed at the stage of II A of Rutherford, while 32.3% were diagnosed at the stage of II B of Rutherford. Revascularization of all ischemic upper limbs (100%) and the majority of ischemic lower limbs (94.1%) were carried out through endovascular thromboembolectomy with Fogarty ballooncathete. Meanlength of hospitalstaywas 8.3 days for upper limb ischemia cases ; while lower limb ischemia patients required 9.2 days of mean hospitalstay. We report a total of 4 deaths (7.4%). Conclusion: Acute limb ischemia remains a challenging entity for clinicians with significant risk of patient limbloss and mortality. Prompt diagnosis, anticoagulation, and timely revascularization are crucial to minimize the risk of limbloss.
    Limb ischemia
    Critical limb ischemia
    Citations (0)