Eriksson I, Holmberg J T
Acta Chir Scand. 1977;143(4):237-40.
A series of 108 arterial embolectomies in 91 patients performed during 1960-64 and 1970-74 is presented. The Fogarty catheter was introduced in our clinic between these periods. Early mortality was 56 and 29%, respectively. Limb salvage rate according to our definition was 38 and 53%, respectively. We found a significantly higher mortality when embolies were located proximal to the profunda femoral artery compared to more distally located embolies. Amputation frequency was 4% after embolectomies performed within 12 hours, but 27% with longer duration of symptoms. Limb salvage rate was significantly higher in patients treated with anticoagulation. In conclusion it is stressed that local surgical therapy should be combined with adequate measures against cardiac failure and other systemic complications. This therapeutic principle is particularly important in cases with proximal embolies.
本文呈现了1960年至1964年以及1970年至1974年期间对91例患者进行的108例动脉栓子切除术。在这两个时间段之间，Fogarty导管被引入我们的诊所。早期死亡率分别为56%和29%。根据我们的定义，肢体挽救率分别为38%和53%。我们发现，与位于更远端的栓子相比，当栓子位于股深动脉近端时，死亡率显著更高。症状出现12小时内行栓子切除术后截肢率为4%，但症状持续时间较长时截肢率为27%。接受抗凝治疗的患者肢体挽救率显著更高。总之，强调局部手术治疗应与针对心力衰竭和其他全身并发症的适当措施相结合。这一治疗原则在近端栓子的病例中尤为重要。
