J.Jpn. Surg. Soc.. 82(9): 1024-1027, 1981
Report on the annual meeting
TREATMENT FOR ACUTE ATERIAL OCCLUSION
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Devision of Thoracic and Cardiovascular Surgery, Department of Surgery, Kawasaki Medical School Tatsuki Katsumura, Takashi Fujiwara, Soroku Doko, Katsumi Motohiro, Hiroshi Inada, Masaki Sato, Yoichi Kinugasa, Akimitsu Kiso |
29 patients with acute arterial thrombosis were treated by reconsturctive surgery and good results were obtained in 22 cases, however, in 6 cases amputations were done and two of these 6 cases were re-amputated. We lost one case due to postoperative renal insufficiency. in most of these poor postoperative coures, severity of the ischemic changes at admission was high and both abnormalities of serum electrolytes and acid-base imballance were usually seen.
Fourteen cases with arterial embolism out of 23 cases were treated by embolectomy, which resulted in excellent recovery in most of the cases except one who had a below knee amputation.
Since, in the aged, determinant of patient's life or prognosis of the leg could be depending on the severity of ischemic changes rather than time from onset of arterial occlusion to admission, anticoagulant treatments should be done as soon as possible and clinical biochemical changes shold be carefully examined in treatments of this disease.
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