Balas P, Bonatsos G, Xeromeritis N, Karamanakos P, Kambilafkas J
J Cardiovasc Surg (Torino). 1985 May-Jun;26(3):262-9.
Although the earliest possible embolectomy is still correlated with best rates of limb salvage, we consider, as do most other authors, that the only critical criterion for operability must be the viability of the ischemic limb. Even in the presence of gangrene of the foot relief of arterial occlusion is recommended in order to secure a more distal amputation. Arterial embolectomy seems to be a simple surgical procedure; however, in the presence of atherosclerotic arteries or in the cases of acute arterial thrombosis the operative procedure needs considerable experience in vascular surgical techniques to secure a successful outcome. Finally, the prevention and early treatment of the revascularization syndrome together with appropriate cardiopulmonary management in a strict intensive-care unit can improve the mortality significantly in cases of acute arterial occlusion of the extremities.
尽管尽早进行栓子切除术仍与肢体挽救的最佳比率相关，但我们和大多数其他作者一样认为，手术可行性的唯一关键标准必须是缺血肢体的存活能力。即使足部出现坏疽，也建议解除动脉闭塞，以便进行更低位的截肢。动脉栓子切除术似乎是一种简单的外科手术；然而，在存在动脉粥样硬化的动脉或急性动脉血栓形成的情况下，手术操作需要在血管外科技术方面有相当丰富的经验才能确保取得成功的结果。最后，在严格的重症监护病房对血管再通综合征进行预防和早期治疗，并进行适当的心肺管理，可以显著降低肢体急性动脉闭塞病例的死亡率。
