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Long-term outcome following thrombembolectomy in the upper extremity.
P B Licht1, T Balezantis, B Wolff
1Department of Cardiothoracic and Vascular Surgery, Southern Danish University, Odense University Hospital, Denmark. licht@dadlnet.dk
Summary
Acute upper extremity ischemia has high mortality, especially in the elderly. Post-discharge survival remains significantly elevated compared to the general population, indicating a need for improved long-term management strategies.
Area of Science:
- Vascular Surgery
- Ischemia Research
- Patient Outcomes
Background:
- Acute upper extremity ischemia presents a significant clinical challenge.
- Understanding associated mortality and morbidity is crucial for patient care.
Purpose of the Study:
- To evaluate short- and long-term mortality and morbidity in patients treated for acute upper extremity ischemia.
Main Methods:
- Retrospective single-center study of 148 patients over 11 years.
- Chart review and clinical follow-up of survivors.
Main Results:
- Median age 78 years, 64% female.
- 30-day mortality 8%, 5-year survival 37%.
- Mortality significantly higher than expected; anticoagulant therapy did not impact survival; ischemia duration did not affect arm function.
Conclusions:
- Acute upper extremity embolic episodes predominantly affect the elderly with high peri-operative mortality.
- Long-term mortality post-discharge remains significantly elevated compared to the background population.