[Acute thrombosis of the lower limbs: choice of treatment?]

The paper reports the Authors' experience of treating acute thrombotic-type ischemia of the lower limbs. It analyses the results obtained in 105 patients treated either using vascular reconstruction, loco-regional fibrinolytic therapy, or simple thrombectomy. Statistical analysis reveals a marked difference between reconstructive surgery and simple thrombectomy, whereas fibrinolysis was found to be a useful but limited method used only in patients with pallid ischemia and in circulatory compensation. In conclusion, the Authors sustain that an aggressive-type approach is currently the most reliable method to be used in all cases in which the patient's general and local conditions permit.