Document Detail


Short- and long-term outcomes of acute upper extremity arterial thromboembolism.
MedLine Citation:
PMID:  20190707     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the short-/long-term outcomes after acute thromboembolism of the upper extremity.
MATERIALS AND METHODS: Twenty-one patients with acute arterial occlusion in the upper extremity were treated from January 1993 to July 2007 at our hospital. Their average age was 73.0, and 14 (66%) were male. The right and left limbs were affected in 15 cases (71%) and 6 cases (29%), respectively. The main associated disease was arrhythmia, in 20 cases (95%), including atrial fibrillation in 17 (81%). The time from onset to operation was 9.7 +/- 9.2 h (range: 2-41 h). All patients underwent thromboembolectomy with a Fogarty catheter.
RESULTS: The symptoms showed regression in all cases after operation, but one patient died from cerebral infarction the following day. Anticoagulant and antiplatelet therapies are commonly prescribed in cases after thromboembolectomy. The free rates of thromboembolism were 74% and 27%, and cumulative actuarial survival rates were 95% and 61% at 1 and 3 years, respectively.
CONCLUSION: Because of the high recurrence rates of thromboembolism, it seems necessary to severe anticoagulant therapy. Upper extremity thromboembolism should also be considered as one manifestation of a systemic embolism.
Authors:
Katsuaki Magishi; Yuichi Izumi; Noriyuki Shimizu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  16     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-05-28     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
Affiliation:
Deparment of Cardiovascular Surgery, Nayoro City General Hospital, Hokkaido, Nayoro, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aged, 80 and over
Anticoagulants / therapeutic use
Catheterization, Peripheral*
Embolectomy*
Female
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use
Recurrence
Retrospective Studies
Thrombectomy*
Thromboembolism / diagnosis,  etiology,  mortality,  therapy*
Time Factors
Treatment Outcome
Upper Extremity / blood supply*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Platelet Aggregation Inhibitors

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


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