medigraphic.com
Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2006, Number 1

<< Back Next >>

Rev Mex Angiol 2006; 34 (1)

Late-onset thromboembolectomy morbility and mortality in the Hospital Regional “Valentín Gómez Farías” del ISSSTE. Zapopan, Jalisco, México

Torres LHD, Ruiz MH, González HJA

Language: Spanish
References: 14
Page: 8-12
PDF size: 45.12 Kb.


ABSTRACT

Objective: The aim of this study was to know the morbidity and mortality of the patients who have undergone late-onset tromboembolectomy in our hospital.
Methods: From January 2001 to June 2005, 90 patients were put under vascular exploration and tromboembolectomy 10 hours after the start of the symptoms. The patients’morbidity and mortality was evaluated, as well as their outliving 30 days after.
Results: Out of the 90 patients treated, 25 (27.7%) had complete resolution; 20 other patients presented metabolic complication or retrombosis; 36 underwent amputations, of which seven were smaller and 29 majors ones, as well as 9 deaths; there was a 90% outliving after 30 days.
Conclusion: The rate of mortality in our series was smaller according to the reported international level; nevertheless, the rate of amputation was greater. The timely taking of acute limb ischemia patients to us would be the rule, as well as the immediate treatment, which can even prevent any loss of the extremity and the own life.


REFERENCES

  1. Labbe R, Lindsay T, Walter P. The extent and distribution of skeletal muscle necrosis after graded periods of complete ischemia. J Vasc Surg 1987; 6: 152-7.

  2. Perry M, Fantini G. Ischemia: profile of an enemy. Reperfusion injury skeletal muscle. J Vasc Surg 1987; 6: 231-4.

  3. Forres I, Lindsay T. The rate of distribution of muscle blood flow after prolonged ischemia. J Vasc Surg 1989; 10: 83-8.

  4. Petrasek P, Homer-Vanniasinkam S. Determinants of ischemic injury to skeletal muscle. J Vasc Surg 1994; 19: 623-31.

  5. Preston F. Gupta S, et al. Suggested standars for reports dealing with lower extremity ischemia. J Vasc Surg 1986; 4: 80-94.

  6. Defraigne J, Pincemail J, et al. Successful controled limb reperfusion after prolonged ischemia. J Vasc Surg 1997; 26: 346-50.

  7. Dale A. Differential management of acute peripheral arterial ischemia. J Vasc Surg 1984; 1: 269-78.

  8. Transatlantic inter Society Consensus. Acute limb ischemia : Definition and nomenclature for acute limb ischemia. J Vasc Surg 2000; 31: s 135-6.

  9. Vaquero F. Isquemias agudas. Uriach, España 1996; 136.

  10. Ammann J, Seiler H, Vogt B. Delayed arterial embolectomy: a plea for a more active surgical appproach. Br J Surg 1976; 63: 73.

  11. Robbs JV, Baker LW. Late revascularization of the lower limb following acute arterial occlusion. Br J Surg 1979; 66: 129.

  12. Jarrert F, Dacumus GC, et al. Late appearance of arterial emboli: diagnosis and management. Surgery 1979; 86: 898.

  13. Karthikeshwar K, Ouriel K. Current options in the diagnosis and management of acute limb ischemia. Prog Cardiovasc Nurs 2002; 17: 26-34.

  14. Haimovici H, et al. Vascular surgery. Arterial embolism of the extremities and technique of embolectomy. Henry Haimovici (ed.) Massachusetts: Blackwell, 2004; 403




2020     |     www.medigraphic.com