Approach on diagnosis and treatment of acute infrarenal abdominal aortic occlusion

VernacularTitle:急性肾动脉下腹主动脉栓塞诊治的探讨
Author: Bin LIU ; Changjun YU ; Huagang ZHU ; Yusheng YE ; Shengyun WAN ; Haiping SONG
Publication Type:Journal Article
Keywords: Aorta; abdominal; Embolism; Emboloctomy
From: Chinese Journal of Postgraduates of Medicine 2009;32(35):13-15
CountryChina
Language:Chinese
Abstract: Objective To discuss rational diagnosis and treatment of acute infrarenal abdominal aortic occlusion. Methods Retrospective analysis was made on 6 cases with acute infrarenal abdominal aortic occlusion from January 2005 to December 2008. Emergency operations of retrograde catheter were done on 3 cases, 2 cases received transaortic embolectomy, 1 case received anticoagulation therapy successfully. Results Two cases were cured, 2 cases with 3 legs received amputation, 2 cases died. The time in hospital was 4 hours to 122 days, averaged (24±55) days. Conclusions A prompt thrombolytic, anticoagulation therapy and operation are suggested. It is emphasized to prevent reperfusion injury after arterial ischemia during the peri-and post-operation. Conservative treatment may be used in the patients incorporated with seriously multiple organ failure.