Comparison between Arteriosclerotic Thrombosis and Embolism in Acute Arterial Occlusive Disease.
10.4326/jjcvs.22.348
- VernacularTitle:急性動脈閉塞症例の検討 動脈硬化性血栓症と塞栓症の比較
- Author:
Hiroaki TAKENAKA
;
Norio AKIYAMA
;
Akira FURUTANI
;
Atsushi SEYAMA
;
Kouichi YOSHIMURA
;
Takayuki KUGA
;
Kentaro FUJIOKA
;
Masaki OHARA
;
Nobuya ZEMPO
;
Kensuke ESATO
- Publication Type:Journal Article
- Keywords:
MNMS
- From:Japanese Journal of Cardiovascular Surgery
1993;22(4):348-351
- CountryJapan
- Language:Japanese
-
Abstract:
During the period between January 1975 and April 1991, 37 patients with acute arterial occulusion of the extremities were admitted to our department and were classified into 2 groups according to their causative factors, including thrombosis and embolism. Among 16 thrombosis patients with involvement of 17 limbs, 4 patients died and 6 limbs were amputated at the time of discharge. On the contrary, among 21 embolism patients with involvement of 25 limbs, 2 patients died and only one limb was amputated. Sixteen of 17 limbs with thrombosis were operated on. Arterial reconstruction was carried out initially on 5 limbs, resulting in successful limb salvage; 3 of 6 limbs which had undergone thrombectomy initially were occluded again soon after the procedure. In the end, 1 limb had to be amputated. On the other hand, 22 of 25 limbs were operated on. Three arterial reconstructions, 18 embolectomies and 1 amputation were carried out initially. All arterial reconstructions and embolectomies were successful. From these results, it was concluded that arterial reconstruction must be done initially for thrombosis patients. For the embolism patients, embolectomy is preferable.
