embolectomy has long been the gold standard for treating limbs acutely threatened by arterial occlusion. delayed embolectomy has not been investigated adequately due to the belief that accompanying mortality and morbidity render the case futile. following our previous experience with late arterial repair for leg or knee salvage i we applied the same principle to limbs threatened with prolonged ...

Embolectomy has long been the gold standard for treating limbs acutely threatened by arterial occlusion. Delayed embolectomy has not been investigated adequately due to the belief that accompanying mortality and morbidity render the case futile. Following our previous experience with late arterial repair for leg or knee salvage I we applied the same principle to limbs threatened with prolo...

OBJECTIVE Determine the impact of 24-hour duration of arterial embolism on the outcomes of management. MATERIAL AND METHOD A prospective study of 91 patients with acute arterial embolism of the lower extremities was carried out. RESULTS Among the 91 patients, 31(34.1%) were with early acute embolism(< 24 hours) and 60 (65.9%) were with late acute embolism (> 24 hours). Extensive limb gangre...

Acute massive pulmonary embolism has a high mortality rate despite advances in diagnosis and therapy. Thrombolysis and catheter embolectomy have recently shown various degrees of failure and adverse effect. Surgical embolectomy has now been liberalised for haemodynamic stable patients with right ventricular dysfunction. We report our surgical experience in the last ten years including massive a...

OBJECTIVE Surgical intervention for fulminant pulmonary embolism is nowadays most commonly restricted to patients with failure of or contraindication to thrombolytic therapy. Such a second choice indication may alter operative risks or late outcome, and this was investigated in a retrospective study. MATERIAL AND METHODS Thirty-six patients (17 male, mean age: 50.6 +/- 15.5 years) with fulmin...

This study reviewed 113 elderly patients after embolectomy over a 10 year period, (median age 77, M:F 46:67). The 30 day mortality was 43%. This was associated with, age >80yrs., failed embolectomy, and aorto-iliac occlusions (P<0.05). Median long term survival was 29 months, (range 1-126), with most deaths in the first year, and a good survival after this. The most common subsequent vascular e...

Since the first report of successful "late" embolectomy for recurrent pulmonary embolism,' a number of patients have been described with significant pulmonary hypertension where clinical improvement associated with lowering of pulmonary artery pressure has followed removal of extensive, well-organised thrombo-embolic material from major pulmonary vessels.2 The following case history illustrates...

BACKGROUND We analyzed the embolectomy results and complications of patients who were operated on after a diagnosis of late acute arterial occlusion of lower extremities. METHODS A total of 122 patients operated on in our clinic between 2004 and 2009 for late acute arterial occlusion were included in the study. Late arterial occlusion was defined as occlusion occuring 72 hours after initial m...

BACKGROUND Late-presenting acute limb ischaemia represents a challenging vascular emergency. The purpose of this study was to evaluate the outcome in patients following revascularization and management of existing or impending reperfusion injury of ischaemic limbs over a 12-year period (2002-2014). METHODS Routine procedural codes were used to label consecutive patients admitted 72 hours foll...