Surgical treatment of acute arterial ischemia of the lower extremity and (prevention) of postoperative complications:a report of 32 cases
LIU Jian-hui, ZHANG Lei, ZHANG Min, KANG Min, HAO Jie (Department of Vascular and Hepatobiliary Surgery, The Second Hospital of Baoding City, Baoding, Hebei 071051, China)
Objective To evaluate the effective treatment for and prevention of complications. Methods The diagnosis and treatment of 32 patients with acute arterial ischemia of the lower extremity were analyzed (retrospectively). 4 cases were treated with thrombolytic therapy, 28 cases underwent emergency operation, of which 3 cases underwent amputation after embolectomy, and 25 cases were treated by arteriotomy of femoral artery and embolectomy with Fogarty catheter(7 cases underwent concomitant arterioplasty).Results One (patient) in the nonoperative group died; but there was no mortality in the operated group. Limb amputation was done in 3 cases, and limbs were saved in 28 cases. Conclusions For acute arterial ischemia of the lower (extremity), emergency arteriotomy of femoral artery plus embolectomy is the treatment of choice. This (therapeutic) approach can lower mortality and limb amputation rate.