Document Detail

Acute arterial thrombosis in the very young.
MedLine Citation:
PMID:  1522647     Owner:  NLM     Status:  MEDLINE    
The case records of all infants under the age of 6 months who underwent surgery for acute arterial thrombosis between January 1980 and September 1991 were reviewed. Seven infants (nine ischemic limbs) were identified and ranged in age from 5 days to 5 1/2 months (mean 2.4 months); all weighed less than 5 kg (mean 3.9 kg). The cause in each case was iatrogenic. Diagnosis was based on the presence of a cool, mottled extremity associated with the absence of insonated peripheral arterial Doppler signals. Treatment included aortoiliac thrombectomy (n = 2), femoral artery thrombectomy with primary closure (n = 4), femoral artery thrombectomy with autogenous saphenous vein patch (n = 1), and axillary artery thrombectomy with end-to-end anastomosis (n = 1). Palpable pulses were restored in five (56%) of nine limbs and Doppler signals in the remaining limbs. There were no instances of limb loss. Excluding aortoiliac thrombectomy, palpable peripheral pulses were reestablished in only 40% of extremities. Thrombectomy is a safe and simple procedure in even the very youngest of patients with arterial insufficiency, but surgical optimism should be tempered by frequent inability to achieve full and durable success.
E L Chaikof; T F Dodson; A A Salam; A B Lumsden; R B Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  16     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1992-10-15     Completed Date:  1992-10-15     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  428-35     Citation Subset:  IM    
Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA.
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MeSH Terms
Acute Disease
Aortic Diseases / epidemiology,  surgery,  ultrasonography
Axillary Artery / surgery
Catheterization / adverse effects
Femoral Artery / surgery
Iatrogenic Disease*
Iliac Artery / surgery
Infant, Newborn
Thrombosis / epidemiology,  surgery*,  ultrasonography

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