Arterial embolectomy: a review of 100 cases.
The results of 100 consecutive patients undergoing arterial embolectomy at the Royal Brisbane Hospital between 1971 and 1981 are presented. Twenty-two patients died and 18 of these had unsuccessful procedures. Of the 82 patients surviving more than 30 days, 14 had a limb amputated and 12 underwent further vascular surgery. Duration of ischaemia was the most important predictive factor; 75% of cases with an ischaemia time of less than 12 h had a successful outcome whereas only 37% were successful when the ischaemia time exceeded 12 h. Anticoagulation improved the success rate, but resulted in a high incidence of wound haematoma.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D000772:Anesthesia, Local; D001158:Arteries / Q000601:surgery*; D001916:Brachial Artery / Q000601:surgery; D004621:Embolization, Therapeutic / Q000401:mortality; D005121:Extremities / Q000098:blood supply; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006493:Heparin / Q000009:adverse effects; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007511:Ischemia / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation; D013997:Time Factors
D006493:Heparin