Abstract
The optimum treatment of acute infrainguinal arterial thrombosis remains controversial. During the past year, our group has used combined intraoperative balloon thrombectomy with intraoperative balloon angioplasty in eight patients with acute arterial thrombosis. All patients experienced resolution of acute symptoms, and seven of eight patients had a palpable pedal pulse. There were no complications, and all patients were discharged by the second postoperative day. The above results have been maintained in a follow-up of 12 to 24 months (average, 16 months). This modality offers many advantages over other treatment modalities and is both therapeutically and cost-effective. We believe that intraoperative balloon thrombectomy with intraoperative balloon angioplasty is the initial treatment of choice in the management of suspected acute infrainguinal arterial thrombosis.
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