SURGICAL MANAGEMENT OF ACUTE EMBOLIC LIMB ISCHEMIA - AN EXPERIENCE OF 256 CASES
ABSTRACT OBJECTIVES: To highlight the importance of embolectomy in patients with acute embolic limb ischemia. STUDY DESIGN: Descriptive analytic study. PLACE AND DURATION OF STUDY: The Department of Vascular Surgery, Combined Military Hospital Lahore, from July 2008 to April 2015. PATIENTS AND METH...
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Format: | Article |
Language: | English |
Published: |
University of Faisalabad
2015-12-01
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Series: | Journal of University Medical & Dental College |
Subjects: | |
Online Access: | http://jumdc.com/index.php/jumdc/article/view/256 |
Summary: | ABSTRACT
OBJECTIVES: To highlight the importance of embolectomy in patients with acute embolic limb ischemia.
STUDY DESIGN: Descriptive analytic study.
PLACE AND DURATION OF STUDY: The Department of Vascular Surgery, Combined Military Hospital Lahore, from July 2008 to April 2015.
PATIENTS AND METHODS: 256 consecutive patients having acute limb ischemia who underwent embolectomy were included in this study. Embolectomy was done with Fogarty catheter under local anaesthesia; using femoral, popliteal and brachial approaches.
RESULTS: Two hundred and fifty six patients with acute embolic limb ischemia were treated surgically by embolectomy. The lower limbs were effected in 167 (65.2%) and upper limb in 89 (34.7%) cases. Male female ratio was 1.5: 1. Only 11 patients (4.2%) reported within 6 hours of onset of ischemic symptoms. 147 patients (57.4%) reported after 12 hours. Embolism was the commonest cause. Most frequent site for obstruction was femoral bifurcation (45.3%). Skin discoloration and presence of motor paralysis were poor prognostic signs. Only in 25 patients (9.8%) fasciotomy along with embolectomy was performed. 26 patients required amputations (9.9%). Limb salvage rate was 83.5% (214 patients).
CONCLUSION: Simple Embolectomy is time tested and safest surgicalprocedure in the management of acute embolic limb ischemia
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ISSN: | 2221-7827 2310-5542 |