Abstract:Objective To evaluate the effective treatment for and prevention of complications.
Methods The diagnosis and treatment of 32 patients with acute arterial ischemia of the lower extremity were analyzed retrospectively. 4 cases were treated with thrombolytic therapy, 28 cases underwent emergency operation, of which 3 cases underwent amputation after embolectomy, and 25 cases were treated by arteriotomy of femoral artery and embolectomy with Fogarty catheter(7 cases underwent concomitant arterioplasty).
Results One patient in the nonoperative group died; but there was no mortality in the operated group. Limb amputation was done in 3 cases, and limbs were saved in 28 cases.
Conclusions For acute arterial ischemia of the lower extremity, emergency arteriotomy of femoral artery plus embolectomy is the treatment of choice. This therapeutic approach can lower mortality and limb amputation rate.