The surgical management of acute limb ischaemia due to native vessel occlusion.
作者： M Pemberton , K Varty , S Nydahl , P.R.F Bell
关键词:
摘要: Abstract Objectivesdata from the STILE study have indicated that for patients with subacute limb ischaemia due to native vessel occlusion, surgery is both more effective and durable than thrombolysis. The purpose of this was evaluate outcome an aggressive surgical approach in presenting acute limb-threatening ischaemia.Designdetails salvageable artery occlusion over a 6-year period University hospital vascular unit setting were obtained audit management these analysed.Resultsone hundred seventy-four consecutive underwent (76% lower, 24% upper limb). Fogarty thrombectomy or embolectomy initially performed 153 (89%) patients. Of these, 37 (24%) immediately further procedure: 28 (18%) had on-table thrombolysis 14 (9%) reconstruction. Twenty-six (15%) salvage within 30 days. Life table analysis demonstrated rate 88% 76% at days 2 years, respectively. Patient survival 75% 48% same time intervals.Conclusionsthese results demonstrate role intervention still exists, resulting high rates.
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R E Allen, M Steele, F W Blaisdell, Management of acute lower extremity arterial ischemia due to embolism and thrombosis. Surgery. ,vol. 84, pp. 822- 834 ,(1978)
A.E. Clason, P.A. Stonebridge, A.J. Duncan, B. Nolan, A. McL. Jenkins, C.V. Ruckley, Morbidity and mortality in acute lower limb ischaemia: a 5-year review. European Journal of Vascular Surgery. ,vol. 3, pp. 339- 343 ,(1989) , 10.1016/S0950-821X(89)80071-4
Einar B. Dregelid, Lodve B. Stangeland, Geir E. Eide, Arne Trippestad, Patient survival and limb prognosis after arterial embolectomy European Journal of Vascular Surgery. ,vol. 1, pp. 263- 271 ,(1987) , 10.1016/S0950-821X(87)80078-6
Leonard H. Cohen, Intraoperative Streptokinase Archives of Surgery. ,vol. 121, pp. 708- 715 ,(1986) , 10.1001/ARCHSURG.1986.01400060104015
W. B. Campbell, T. R. Magee, Managing acute limb ischaemia. BMJ. ,vol. 299, pp. 526- 526 ,(1989) , 10.1136/BMJ.299.6698.526
M. P. Armon, S. W. Yusuf, S. C. Whitaker, R. H. S. Gregson, P. W. Wenham, B. R. Hopkinson, Results of 100 cases of pulse-spray thrombolysis for acute and subacute leg ischaemia British Journal of Surgery. ,vol. 84, pp. 47- 50 ,(1997) , 10.1046/J.1365-2168.1997.02442.X
Fred A. Weaver, Anthony J. Comerota, Marston Youngblood, Juergen Froehlich, James D. Hosking, George Papanicolaou, the STILE Investigators, Surgical revascularization versus thrombolysis for nonembolic lower extremity native artery occlusions: Results of a prospective randomized trial Journal of Vascular Surgery. ,vol. 24, pp. 513- 523 ,(1996) , 10.1016/S0741-5214(96)70067-8
N. C. Hickey, M. C. Crowson, M. H. Simms, Emergency arterial reconstruction for acute ischaemia British Journal of Surgery. ,vol. 77, pp. 680- 681 ,(2005) , 10.1002/BJS.1800770630
Kenneth Ouriel, Cynthia K. Shortell, James A. DeWeese, Richard M. Green, Charles W. Francis, Michael V.U. Azodo, Oscar H. Gutierrez, James V. Manzione, Christopher Cox, Victor J. Marder, A comparison of thrombolytic therapy with operative revascularization in the initial treatment of acute peripheral arterial ischemia Journal of Vascular Surgery. ,vol. 19, pp. 1021- 1030 ,(1994) , 10.1016/S0741-5214(94)70214-4
Kenneth Ouriel, Frank J. Veith, Arthur A. Sasahara, Thrombolysis or peripheral arterial surgery: Phase I results Journal of Vascular Surgery. ,vol. 23, pp. 64- 75 ,(1996) , 10.1016/S0741-5214(05)80036-9