ORIGINAL ARTICLE
Year : 2015  |  Volume : 2  |  Issue : 4  |  Page : 148-151

Early Intervention is an Important Factor in Reducing Mortality and Morbidity After Embolectomy/thrombectomy for Acute Limb Ischemia


Department of Cardiothoracic and Vascular Surgery, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India

Correspondence Address:
Vikas Deep Goyal
Department of Cardiothoracic and Vascular Surgery, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0820.180117

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Background: Retrospective analysis of risk factors associated with acute limb ischemia, the role of early intervention and patient selection in reducing mortality and morbidity after embolectomy and results of surgical treatment. Patients and Methods: From December 2011 to November 2013, 10 patients underwent embolectomy for acute limb ischemia at Dr. Rajendra Prasad Government Medical College Kangra at Tanda (H.P). Their mean age, sex, symptomatology, associated diseases, surgical technique, operative mortality, amputation, and incidence of renal dysfunction have been evaluated. Results: Ten patients underwent embolectomy for acute limb ischemia. The mean age of the patients in the study was 51.4 ± 8.8 years and mean hospital stay was 10.5 ± 7.78 days. There was no operative mortality and one patient required amputation. Three patients had renal dysfunction, but they recovered with conservative management. Conclusion: This study highlights that early intervention and patient selection are very important factors in minimizing mortality and morbidity after embolectomy. Right femoral and popliteal arteries are the most common peripheral sites of embolus arising from the heart and great vessels.


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