Sierra-Juárez MÁ, Córdova-Quintal PM, Fabián-Mijangos W, Rubén-Ramos HC

Language: Spanish
References: 7
Page: 209-213
PDF size: 365.81 Kb.

ABSTRACT

Introduction. Artery embolism presents very serious complications, irreversible damage can begin within the first 6 h and maximum operating discuss recommendations within the first eight hours.
Material and methods. We present a retrospective, observational study of 18 cases seen in Hospital General de México in which embolectomy was carried out after 8 h of onset of symptoms.
Results. 56% of patients were female, with an average age of 57 years of care, the predominant risk factor was smoking, also the average time of onset of symptoms until attention was 12.4 days, 55% cases are presented in infrainguinal territory. Finally it was concluded that 78% of cases without complications. With four complicated cases (22%) of these 3 patients required amputation (16%) and 1 died (6%).
Conclusions. The late embolectomy to be a good option in cases cardiogenic embolic only in patients in the sixth decade of life, the 12-day time window seems to be feasible to do the same without associated disease such as arteriosclerosis. It is essential to monitoring and implementation of anticoagulant therapy at the optimal level.

REFERENCES

1. Haimovici H. Late arterial embolectomy. Surgery 46:775- 1959.

2. Jarret. Late appearance of arterial emboli: diagnosis and management. Surgery 1979; 86(6): 898-905.

3. Shifrin. Practice and theory of “delayed” embolectomy. A 22-year perspective. J Cardiovasc Surg 1986; 27(5): 553-6.

4. Karthikeshwark. Current options in the diagnosis and management of acute limb ischemia. Prog Cardiovasc Nurs 2002; 17: 26-34

5. Torres D. Morbimortalidad de tromboembolectomías tardías en el Hospital Regional “Valentín Gómez Farías” del ISSSTE. Rev Mex Angiol 2006; 34(1): 8-12.

6. Hikment. Should embolectomy be performed in late acute lower extremity arterial occlusions? Vasc Healt risk Manag 2009; 5: 621-6.

7. Analysis of risk factors for amputation in 822 cases with acute arterial emboli. Scientific World J 2012.