Technical considerations in arterial embolectomy.

The frequency of arterial embolism is high and seems to be increasing. The introduction of the Fogarty catheter for embolectomy has afforded a considerable simplification of the operative technique. Nevertheless the mortality and amputation rates are still substantially high. Early diagnosis and further improved technique for removal of the embolus may enhance limb salvage and reduce mortality rates. The present paper is a review of 10 years' experience concerning technical problems with embolectomy. The arteriotomy technique, the handling of the catheter, per- and postoperative management, and specific technical problems related to the embolic lodgement at different sites are discussed with the object of giving some hints on how to perform the embolectomy in a safe way and with best chances of a suscessful outcome.