Experience in the treatment of arterial embolism of the extremities, report of 536 cases
- VernacularTitle:536例肢体动脉栓塞的治疗经验
- Author:
Zhangmin WU
;
Qinghua WU
;
Zhong CHEN
;
Hongru DENG
;
Baozhong YANG
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Surgical procedures;
operative;
Thromboembolism;
Fogarty ballon catheter
- From:
Chinese Journal of General Surgery
2008;23(6):441-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the treatment for acute embolism in the extremities and define the primary factors affecting the prognosis. Methods From December 1984 to December 2006,536 patients with acute embolism of extremities were treated. Embolectomy with Forgarty catheters were performed in 507 cases, including salvage surgery in 34 cases and conservative therapy in 29 cases. Results The cure rate, mortality and amputation rate were 76.68%,9.51% and 10.26% respectively. Embolism recurred in 11.7% cases. Cardiopulmonary (27.5% ) and renal failure ( 25.5% ) were main causes of death during perioperative period. No bleeding nor other major complications occurred in 221 patients with atrial fibrillation who routinely received wafarine under proper monitoring. About 25.6% patients underwent heart valves surgery during hospitalization or within one year after discharge. Conclusions Patients suffering from acute embolism of the extremities should receive combination treatment. The main factors affecting the prognosis include time and degree of ischemia, and ischemia-reperfusion injury. Anticoagulant and etiologic treatment should be adopted in those with cardiogenic embolus and atrial fibrillation.
