Document Detail


Acute limb ischemia due to arterial embolism or thrombosis: influence of limb ischemia versus pre-existing cardiac disease on postoperative mortality rate.
MedLine Citation:
PMID:  3339076     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fatal outcome is common after arterial thromboembolectomy. Initial conservative treatment has been suggested to reduce the mortality rate, but the indications for such treatment are poorly defined. This analysis of 201 patients with acute arterial embolism or thrombosis demonstrates that advanced age, recent myocardial infarction, and proximal occlusions are associated with a high mortality rate after arterial thromboembolectomy. Operations performed 13-24 hours after the onset of ischemia, arteriosclerosis in the occluded artery and poor distal backbleeding after completion of thromboembolectomy were also associated with an increased mortality rate, whereas surprisingly the presence of pre-existing cardiac disease, recent myocardial infarction excluded, was not. The present findings suggest that the prognosis quoad vitam after arterial thromboembolectomy is influenced by limb ischemia itself and possibly also by the revascularization procedure. It is suggested that the severity of limb ischemia and an assessment of cardiac function should determine the initial treatment: conservative treatment, or early attempts at revascularization.
Authors:
L Jivegård; J Holm; T Scherstén
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  29     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1988 Jan-Feb
Date Detail:
Created Date:  1988-03-10     Completed Date:  1988-03-10     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  32-6     Citation Subset:  IM    
Affiliation:
Department of Surgery I, Sahlgren's Hospital, Göteborg, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Age Factors
Aged
Arteriosclerosis / complications,  mortality*,  surgery
Collateral Circulation
Embolism / complications,  mortality*,  surgery
Female
Femoral Artery / surgery
Humans
Ischemia / etiology,  mortality*,  surgery
Leg / blood supply*
Male
Myocardial Infarction / mortality
Postoperative Period
Recurrence
Retrospective Studies
Thrombophlebitis / complications,  mortality*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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