The role of popliteal artery embolectomy in the management of acute lower limb ischemia: our experience

Siani, Andrea and Schioppa, Annalisa and Flaishman, Isaac and Zaccaria, Alvaro (2006) The role of popliteal artery embolectomy in the management of acute lower limb ischemia: our experience. Il giornale di chirurgia, 27 (1-2). pp. 63-65. ISSN 1971-145x

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Abstract

Introduction. The Authors report their experience in the management of acute lower limbs ischemia throught distal popliteal artery approach. Patients and methods. Five popliteal embolectomy through a medial approach were performed; in one patient a posterior approach was carried out. Patients were included in two groups on the basis of ischemia duration: group A < 6 hours (3 patients) and group B > 6 hours (3 patients). Colour-duplex scan was performed in all the patients The arteriotomy was closed with interrupted 7/0 monofilament polypropylene sutures. Results. There were no peri-operative deaths. The primary limb salvage rate was 83.3% (5 patients). In one case (16.7%) a major amputation was performed. In one case (16.7%) a drop foot occurred. Conclusions. The popliteal embolectomy is followed by excellent results and should be consider prior to thrombolysis or bypass graft revascularization. An appropriate use of duplex scan and a medial approach can lead to an high successful rates in terms of limb function and limb salvage also in cases with delayed ischemia.

Item Type:	Article
Uncontrolled Keywords:	Popliteal artery, Embolectomy, Acute ischemia; Arteria poplitea, Embolectomia, Ischemia acuta
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Chiara D'Arpa
Date Deposited:	10 Jul 2013 15:21
Last Modified:	10 Jul 2013 15:21
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5195

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