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Published on: February 10, 2023
Peripheral arterial embolism: a prospective study of 40 consecutive cases
1Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur.
The Medical Journal of Malaysia
|June 1, 1990
Summary
Peripheral arterial embolism has a very poor prognosis, with a 50% mortality rate. Delays in treatment and patient health significantly impact outcomes, necessitating urgent improvements in care for this condition.
Area of Science:
- Vascular Surgery
- Cardiology
Background:
- Peripheral arterial embolism is a critical condition often originating from atrial fibrillation.
- Delayed presentation with established gangrene complicates treatment and worsens outcomes.
Purpose of the Study:
- To evaluate the outcomes of patients treated for peripheral arterial embolism.
- To identify factors contributing to poor results and suggest improvements.
Main Methods:
- Prospective study of 40 consecutive patients with peripheral arterial embolism.
- Analysis of embolectomy procedures, limb viability, mortality, and treatment delays.
Main Results:
- Overall mortality for arterial embolism was 50%.
- Only 10 of 25 patients undergoing embolectomy were discharged with intact limbs.
- Amputation was required in 4 patients; 11 died post-embolectomy.
Conclusions:
- Peripheral arterial embolism carries a very poor prognosis, largely due to delayed treatment and patient comorbidities.
- Significant improvements are needed in the management of arterial embolism to reduce mortality and limb loss.
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