Clinical effect analysis in the treatment of acute limb arterial critical ischemia

Abstract

Objective To discuss the therapeutic effect in the treatment of the acute limb arterial critical ischemia. Methods Collect thirty-nine cases of acute limb arterial critical ischemia in Renji Hospital from Janary 2014 to July 2016. According to the patients' manifestation, these operations were porfermed including thrombectomy, cathetery-directed thrombolysis, mechanical suction bolt, percutaneous angioplasty and stenting. The effect and complications were observed. Results The eighteen patients in 39 cases (46.2%) were dead, including 5 cases without operation, 13 operation. The eight cases were amputated during 34 cases of operations. In the 21 out-patients safely, 2 cases were not followed up. The time of follow-up was from 3 to 27 months, on average 14.3 months. During the 21 patients, 5 cases died from heart cerebrovascular or tumor diseases, 3 cases with foot-drop, 2 cases with toe amputations, 3 cases with distal leg and foot anesthesias. Conclusions The patiens with acute limb arteries critical ischemia must be treated as early as, and reinforced the management of multiple organ function, which may improve the diseases′ therapeutic effect. Key words: Acute; Critical; Ischemia; Arteries; Comparative effectiveness research