2017, Number 2
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Revista Cubana de Angiología y Cirugía Vascular 2017; 18 (2)
Late embolectomy in acute lower limb ischemia
Pérez PKJ, Pérez HRA, Torres TCN
Language: Spanish
References: 12
Page: 208-217
PDF size: 243.13 Kb.
ABSTRACT
Acute ischemia is the sudden interruption of the blood flow in a specific area of the
body. Its most common cause is arterial embolism consisting of abrupt occlusion of
a healthy artery by thrombotic residues formed in an area near the stroke and
unleashing a clinical picture that should be adequately diagnosed and treated to
avoid death. There is close relationship between the severity of ischemia and the
time elapsed because if no aggressive actions are taken in due time, the results are
rarely satisfactory. Revascularization is considered less effective 8 to 10 hours after
ischemia. After this time many surgeons refrain from performing surgery due to the
frightening reperfusion syndrome. However some had documented successful
results with late embolectomy. Here is a case of arterial embolism in right lower
limb owing to cardiac arrhythmia. The patient arrived to the Vascular Surgery
service after 72 hours of the event; he was performed femoral embolectomy with
Fogarty catheter and the achieved results were satisfactory, which supports the
hypothesis of trying to reperfusing the affected limb whenever tissue viability exists
and gangrene is not present, regardless of time elapsed.
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