title: [The comparison of operative and non-operative treatment for acute embolism of upper extremity artery].
abstract: OBJECTIVE
  To compare surgical and non-surgical therapy of the upper extremity after acute arterial occlusion. To analyze the relation between prognosis and relevant factors of different therapeutic methods.
  
  
  METHODS
  Sixty patients with acute upper extremity arterial embolism treated between January 1990 and October 2007 were retrospectively studied in The First Hospital of China Medical University.
  
  
  RESULTS
  There were 60 patients, 32 men and 28 women, with a mean age of 63 years (21 - 86 years). Among them, 31 underwent thrombembolectomies with the Fogarty catheter and 29 received anti-coagulation and thrombolytic therapy. Therapeutic effects were evaluated by Cooley's standard. Therapeutic efficacy was better in the surgical group than in the non-surgical group (P < 0.05). There was no relationship between post-operative ischemic recovery and pre-operative ischemia severity and the site of embolism in the surgical group, while there were significant relationships in the nonsurgical group. The result of Cox proportional hazard regression model showed that the age and Cooley's standard of the patient was correlated with survival time.
  
  
  CONCLUSIONS
  A more active surgical approach is better for the treatment of acute arterial occlusion of the upper extremity.
authors.affiliation: Department of Vascular Surgery, First Hospital, China Medical University, Shenyang 110001, China.
authors.forename: Ming-di
authors.initials: MD
authors.lastname: Yin
authors.forename: Jian
authors.initials: J
authors.lastname: Zhang
authors.forename: Jin-qiu
authors.initials: JQ
authors.lastname: Song
authors.forename: Bin
authors.initials: B
authors.lastname: Wu
authors.forename: Shao-yin
authors.initials: SY
authors.lastname: Shan
authors.forename: Zhi-quan
authors.initials: ZQ
authors.lastname: Duan
authors.forename: Shi-jie
authors.initials: SJ
authors.lastname: Xin
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use*; D001132:Arm / Q000098:blood supply; D004617:Embolism / Q000188:drug therapy* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016019:Survival Analysis; D017131:Thrombectomy; D055815:Young Adult
chemical_list: D000925:Anticoagulants