Predictive factors for postrevascularization compartment syndrome in acute lower limb ischemia

Abstract

Background Following revascularization treatments for acute limb ischemia, postischemic compartment syndrome (CS), a surgical emergency brought on by elevated intracompartmental pressure in a lower extremity, develops acute limb ischemia. The muscles in the extremities may become edematous during surgical revascularization, such as embolectomy or artery bypass, as a result of fluid extravasation or inflammatory reactions following an ischemia-reperfusion insult, leading to a fast rise in intracompartmental pressure. Objectives In patients with nontraumatic acute ischemia of the lower extremities, are to evaluate the risk variables for postrevascularization CS. Patients and methods The 50 patients for this study were chose n at random from the emergency hospital at Mansoura University’s Department of Vascular Surgery. Results The most important predictors of the CS were paralysis, Rutherford classification IIB, and intraoperative insufficient backflow. Significant risk factors for CS were atrial fibrillation, emboli, thrombosis, Rutherford classification IIA, ischemia time (h), and positive fluid balance in the first 24 h. Conclusion The most important predictors of the CS in postrevascularization of acute lower limb ischemia, as shown by the regression analysis, is paralysis, Rutherford classification IIB, and intraoperative insufficient backflow.