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[Arterial embolisms of the lower extremities]
M Ilić1, L Davidović, S Lotina
1Surgical Ward, City Hospital, Valjevo.
Srpski Arhiv Za Celokupno Lekarstvo
|November 23, 2000
Summary
Lower limb embolism, often caused by cardiac issues like arrhythmia, requires prompt surgical treatment. Factors such as embolus location and delayed intervention negatively impact outcomes, highlighting the need for timely management.
Area of Science:
- Vascular Surgery
- Cardiology
- Medical Research
Context:
- Lower limb acute arterial occlusion due to embolism is a common and serious condition.
- Delayed or inadequate treatment leads to significant morbidity and mortality.
- Understanding the causes and treatment outcomes is crucial for improving patient care.
Purpose:
- To investigate the aetiology of lower limb embolism.
- To identify factors influencing the early and late results of surgical treatment.
- To analyze treatment outcomes including limb salvage and mortality rates.
Summary:
- This study analyzed 224 lower limb embolism cases treated surgically, with cardiac causes (primarily arrhythmia) identified in 84.4%.
- Early amputation occurred in 10.3% of cases, with limb salvage achieved in 77.7%.
- Factors like embolus location, delayed surgery, and pre-existing paralysis negatively affected outcomes.
Impact:
- Identifies key factors associated with poorer surgical outcomes in lower limb embolism.
- Provides data on limb salvage rates and early postoperative mortality.
- Informs clinical decision-making for optimizing treatment strategies and patient selection.