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Related Experiment Videos

Experience with physiologic amputation using the CryoCare Extremity Stabilization System (CESS).

J M Lohr1, K S Lutter, J R Johnson

  • 1John J. Cranley Vascular Laboratory, Good Samaritan Hospital, Cincinnati, Ohio.

The Journal of Cardiovascular Surgery
|July 1, 1992
PubMed
Summary
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Physiologic freezing amputation using the CryoCare Extremity Stabilization System (CESS) offers symptomatic relief and medical stabilization for high-risk patients. This approach is valuable for managing ischemic limbs when long-term survival is uncertain.

Area of Science:

  • Vascular Surgery
  • Surgical Innovation
  • Patient Management

Background:

  • Ischemic extremities pose significant risks for patients with systemic toxicity.
  • Traditional amputation may be prohibitive for critically ill patients.
  • The CryoCare Extremity Stabilization System (CESS) offers an alternative approach.

Purpose of the Study:

  • To evaluate the clinical utility of the CryoCare Extremity Stabilization System (CESS) for physiologic amputation.
  • To assess the impact of CESS on patient stabilization and symptomatic relief.
  • To determine the value of freezing amputation in high-risk surgical candidates.

Main Methods:

  • Retrospective evaluation of five years of experience with the CESS.
  • Analysis of 21 patients undergoing freezing amputation.

Related Experiment Videos

  • Assessment of outcomes including survival, need for surgical amputation, and medical stabilization.

    • Main Results:

    • CESS provided symptomatic relief, odor control, and reduced nursing demand.
    • Physiologic amputation allowed for medical stabilization of critical conditions like sepsis and renal failure.
    • Six patients with myoglobinuria cleared the condition after CESS application.
    • Ten patients successfully underwent subsequent surgical amputation and were discharged.

    Conclusions:

    • Physiologic freezing amputation with CESS is a valuable technique for high-risk patients.
    • It enables maximal medical stabilization by delaying definitive amputation.
    • CESS should be considered in the surgical repertoire for managing ischemic extremities.