[Thrombectomy in acute thrombosis after reconstructive operations on the arteries of the limbs]

While performing 152 reconstructive operations for obliterating lesions of large arteries of the lower extremities, the authors observed early acute thromboses of the graft in 12 patients (following operations on the femoropopliteal region and crural arteries). Of 12 patients 7 subjects were reoperated upon. In 6 cases indirect thrombectomy from the autovenous shunt or endarterectomized arterial segment by a baloon catheter proved to be quite feasible. The patients were discharged with adequate compensation of the extremity circulation. In one case there was obliteration of the shunt. In 5 patients treated conservatively for acute thrombosis of the graft a gangrene of the limb developed, and it had to be amputated.