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Related Experiment Videos

Arterial embolism in the upper limb.

H Kofoed, H J Hansen

    Acta Chirurgica Scandinavica. Supplementum
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Timely upper extremity embolectomy significantly improves outcomes. Performing this surgery within 12 hours of symptom onset leads to excellent results in most patients, while delayed procedures show poorer results.

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    Area of Science:

    • Vascular Surgery
    • Emergency Medicine
    • Reconstructive Surgery

    Background:

    • Embolism in the upper extremity can lead to limb ischemia and severe complications.
    • Prompt surgical intervention is crucial for limb salvage and functional recovery.

    Purpose of the Study:

    • To evaluate the outcomes of upper extremity embolectomy based on the timing of intervention.
    • To determine the correlation between surgical timing and patient results.

    Main Methods:

    • Retrospective analysis of 20 patients undergoing upper extremity embolectomy.
    • Categorization of patients based on surgical timing: within 12 hours vs. after 12 hours from symptom onset.
    • Assessment of postoperative outcomes including functional results and limb salvage.

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    Main Results:

    • Two patients (10%) died postoperatively from their primary disease.
    • Of 18 surviving patients, 10 treated within 12 hours had 8 excellent and 2 fair results.
    • Eight patients treated after 12 hours had 2 excellent, 2 fair, 2 poor results, and 2 amputations.

    Conclusions:

    • Early upper extremity embolectomy (within 12 hours) is associated with significantly better outcomes.
    • Delayed surgical intervention increases the risk of poor results and limb loss.