Levy J B, Rettori R, Olivier C
J Chir (Paris). 1975 Jul-Aug;110(1-2):15-24.
The authors present a series of 64 patients with arterial embolism in healthy arteries. 53 of these patients underwent one or several embolectomies, using a Fogarty catheter. Although arterial embolism has a poor prognosis owing to the constitutional background (15 p. 100 mortality and 12 p. 100 amputations), this is mainly due to the age of the patient. The severity of the initial attack and the delay between embolism and embolectomy seem to be the main factors in prognosis. Massive ischemia causes severe symptoms in these fragile patients and an early cure is necessary to compensate this disturbance. Heparin perfusion, whilst awaiting surgical treatment, is essential. Embolectomy by Fogarty's catheter may be carried out under local anesthesia; this remains the essential measure and has greatly improved the prognosis of this disease which used to be fatal in almost 60 p. 100 of cases, even in healthy arteries.
作者报告了一系列64例健康动脉发生动脉栓塞的患者。其中53例患者使用Fogarty导管进行了一次或多次栓子切除术。尽管由于体质因素，动脉栓塞预后较差（死亡率为15%，截肢率为12%），但这主要是由患者年龄所致。初始发作的严重程度以及栓塞与栓子切除术之间的延迟似乎是预后的主要因素。大面积缺血在这些脆弱患者中会引发严重症状，因此需要早期治愈以弥补这种紊乱。在等待手术治疗期间，肝素灌注至关重要。使用Fogarty导管进行栓子切除术可在局部麻醉下进行；这仍然是关键措施，并且极大地改善了这种疾病的预后，该疾病过去在近60%的病例中甚至在健康动脉中都是致命的。
