Current management of acute leg ischaemia: results of an audit by the vascular surgical society of Great Britain and Ireland

Abstract

Patients with acute leg ischaemia are generally treated by vascular specialists, with modern methods and acceptable results. This is being achieved despite insufficient vascular surgeons and radiologists for formal emergency rotas in most hospitals.

Early outcomes following alternative treatment strategies in the management of the acutely ischemic limb

“…An acutely ischemic limb was defined as a previously stable limb that had suffered a sudden deterioration in arterial supply for less than two weeks. Features of acute ischemia included rest pain, reduced sensation or movement, and tissue necrosis [8]. Case notes were retrieved, and a separate file was created for each presentation of an acutely ischemic leg (designated an ''event'').…”

“…Acute limb ischemia was defined according to the guidelines set down by the Vascular Surgical Society of Great Britain and Ireland (VSGBI) [8]. Patients presenting to the vascular unit in St. Vincent's University hospital with acutely ischemic limbs between September 1996 and September 2001 were identified using the hospital's inpatient enquiry system, its operative records, and its radiology database.…”

Acute Iliac and Femoral Arterial Thrombosis Secondary to Total Hip Arthroplasty

“…Open surgical techniques for salvage of an ischemic limb include: balloon catheter thrombectomy, bypass procedures to direct blood flow beyond the occlusion, endarterectomy with or without patch angioplasty and intraoperative isolated limb thrombolysis. Unfortunately, the ability to rapidly restore arterial flow to the extremity with an operative procedure represents a significant insult to medically compromised individuals -one that all too frequently culminates in patient demise [9][10][11].…”

Aktueller Forschungsstand zur akuten Extremitätenischämie

“…Insbesondere sollten beide Anastomosen dargestellt werden, um eventuelle Stenosen nicht zu über-sehen [10]. Die 30-Tage-Amputationsrate nach einer offen-chirurgischen Therapie liegt bei 5-16 %, die 30-Tage-Mortalität bei 9-22 %, die 5-Jahres-Beinerhaltungsrate bei 61-81 % und die 5-Jahres-Überlebens-rate bei 33-43 % [14][15][16][17][18][19][20]. De Donato et al [21] [13].…”