Multifactorial analysis on prognosis of acute peripheral arterial embolization
- VernacularTitle:急性周围动脉栓塞预后的多因素分析
- Author:
Wei REN
- Publication Type:Journal Article
- Keywords:
Arterial embolization;
Prognosis;
Mortality;
Limb salvage
- From:
Journal of Chongqing Medical University
1987;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the prognosis of acute peripheral arterial embolization.Methods:From Jan 1990 to Jun 2002,117 cases with 149 times of embolization were analyzed retrospectively to determine the distribution,amputation rate and mortality of arterial embolization.Logistic regression was employed to define the role of site,the extent and range of ischemia,ischemic time,treatment modality,with or without atherosclerosis,and recurrent onset on amputation rate of extremities.Results:Approximately 87% of embolization occurred in lower limbs,that occuring in internal organ was about 2% and upper extremities 10%.Among 117 cases,the mortality was 11.9%,amputation rate 7.8% and limb salvage 92.2%.Conclusion:Underlying heart disease and embolization of internal principal organ are the leading causes of death.Single embolectomy and anti-coagulation therapy are the mainstay of treatment for acute embolization.The major prognosis of limbs depended on the extent and range of ischemia and secondary treatment.
