[Leg embolisms: treatment via percutaneous thrombo-aspiration].
OBJECTIVE
Benefits of the local thrombolytic therapy in the treatment of acute peripheral arterial ischemia have been proved (13), but the place of thrombo-aspiration in this percutaneous treatment is not well defined. This study evaluates the results of thromboaspiration with or without local thrombolysis for the treatment of arterial embolism associated with a lower limb arteriopathy.


METHODS
From May 1991 to May 1992, ten arterial embolisms (below the common femoral artery) associated with a lower limb arteriopathy have been treated by thromboaspiration with or without local thrombolysis.


RESULTS
Nine immediate successes have been obtained. One failure has been operated on with success. On the third day, an occlusion of the popliteal artery occured and a femoroperoneal bypass was performed. But the occlusion of the bypass obligated to an amputation above the knee. This patient died one month later (hospital mortality 10%). During the follow-up (2 months), other procedures were patent.


CONCLUSIONS
Thromboaspiration with or without thrombolysis is efficient for the treatment of arterial embolism associated with a lower limb arteriopathy.
Gabrielle
F
F
Service de Chirurgie Cardiovasculaire et Angiologie, Hôpital du Bocage, Dijon.
Cercueil
J P
JP
Tatou
E
E
Becker
F
F
Krause
D
D
Brenot
R
R
David
M
M
D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D004617:Embolism / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D012189:Retrospective Studies; D013396:Suction / Q000379:methods*; D017131:Thrombectomy / Q000379:methods*; D015912:Thrombolytic Therapy
Embolies des membres inférieurs: traitement par thrombo-aspiration percutanée.