Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Arterial embolism and thrombosis.

M R Gaspar

    Major Problems in Clinical Surgery
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Differentiating acute arterial embolism from thrombosis is crucial for timely treatment. Prompt surgery for embolism and conservative management for thrombosis improve patient outcomes.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    "Rule of thumb".

    Surgery·1994
    Same author

    Extrahepatic portal vein aneurysm: report of a case treated by thrombectomy and aneurysmorrhaphy.

    Annals of vascular surgery·1992
    Same author

    An effective treatment protocol for intraarterial drug injection.

    Journal of vascular surgery·1990
    Same author

    Selective use of arteriography in the assessment of aortic aneurysm repair.

    Annals of vascular surgery·1990
    Same author

    Carotid endarterectomy.

    American journal of surgery·1990
    Same author

    Abdominal aortic and multiple iliac aneurysms associated with crossed-fused ectopia of the kidney: a case report and review.

    Journal of vascular surgery·1989

    Area of Science:

    • Vascular Surgery
    • Cardiovascular Medicine
    • Emergency Medicine

    Background:

    • Acute limb ischemia presents diagnostic challenges, often requiring differentiation between arterial embolism and thrombosis.
    • Timely and accurate diagnosis is critical for limb salvage and patient survival.
    • Current management strategies vary based on the underlying cause and limb viability.

    Purpose of the Study:

    • To delineate the distinct management protocols for acute arterial embolism versus acute arterial thrombosis.
    • To establish guidelines for patient selection for urgent surgical exploration versus conservative medical management.
    • To emphasize the importance of identifying the embolic source in peripheral arterial embolectomy.

    Main Methods:

    • Comparative analysis of clinical presentations and outcomes for acute arterial embolism and thrombosis.

    Related Experiment Videos

  • Review of treatment strategies including heparinization, thrombolysis, surgical exploration, and amputation.
  • Evaluation of diagnostic uncertainty and its impact on management decisions.

    • Main Results:

    • Acute arterial embolism with a viable extremity warrants immediate heparinization and surgical intervention.
    • Acute arterial thrombosis is best managed with heparin and potentially streptokinase, avoiding urgent surgery.
    • Patients with uncertain diagnoses and viable extremities require heparinization and selective arterial exploration if medically fit.
    • Nonviable extremities necessitate amputation as soon as the patient's condition allows.

    Conclusions:

    • Clear differentiation between arterial embolism and thrombosis dictates divergent treatment pathways.
    • Early heparinization and surgical intervention are key for viable embolic occlusions.
    • Conservative management with thrombolytics is preferred for arterial thrombosis, reserving surgery for specific indications.
    • Identifying the embolic source is paramount for preventing recurrence and ensuring comprehensive patient care.