ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Acute peripheral arterial occlusion: a review of 137 cases
Yüksel Dereli1, Ramis Özdemir1, Nihan Kayalar2, Musa Ağrış1, Kemalettin Hoşgör1, Ali Suat Özdiş1
1Department of Cardiovascular Surgery, Konya Numune Hospital, Konya, Turkey
2Department of Cardiovascular Surgery, Bağcılar Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2012.050
Background: We evaluated the patients who were performed surgical treatment due to acute peripheral arterial occlusion.

Methods: Between January 2005 and February 2011, 137 patients (74 males, 63 females; mean age 62.85 years; range 34 to 91 years) who underwent surgical treatment due to acute peripheral arterial occlusion were evaluated retrospectively.

Results: The arterial occlusion was on the right upper extremity in 25 patients, on the left upper extremity in 16 patients, on the right lower extremity in 48 patients, on the left lower extremity in 39 patients and bilateral lower extremity in nine patients. Sixy-one patients were admitted within the first 12 hours, while 76 patients were admitted after the first 12 hours. Embolectomy was performed on all patients. Reembolectomy was done for 17 patients (12.40%) with recurrent ischemia. Amputation were performed on nine patients (6.56%). Mortality rate was 4.37% with six cases.

Conclusion: Acute arterial occlusions are associated with high mortality and morbidity rates. Early diagnosis and surgical intervention play a significant role in reducing mortality and morbidity.

Keywords : Acute arterial occlusion; embolectomy; embolism
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