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08:10
Reproducible Motor Deficit Following Aortic Occlusion in a Rat Model Of Spinal Cord Ischemia
Published on: July 22, 2017
Acute aortic occlusion--factors that influence outcome
S C Babu1, P M Shah, J Nitahara
1Department of Surgery, New York Medical College, Westchester Medical Center, Valhalla, USA.
Journal of Vascular Surgery
|April 1, 1995
Summary
Acute aortic occlusion management is challenging due to varied presentations. Poor left ventricular function and hypercoagulable states significantly increase mortality risk in these patients.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Critical Care Medicine
Background:
- Acute aortic occlusion is a rare but life-threatening condition.
- Diagnosis can be delayed due to diverse clinical presentations.
Purpose of the Study:
- To review the management of acute aortic occlusion.
- To identify factors influencing patient outcomes.
Main Methods:
- Retrospective analysis of 48 patients over 19 years.
- Evaluation of clinical presentation, etiology, and treatment strategies.
- Assessment of left ventricular function (LVF) and surgical interventions.
Main Results:
- Overall mortality was 52%, significantly higher with poor LVF (85%).
- Embolic occlusions had a better survival rate (100%) compared to thrombotic causes.
- Additional surgeries and hypercoagulable states were associated with increased mortality.
Conclusions:
- Acute aortic occlusion requires prompt diagnosis and management.
- Poor LVF, arterial thrombosis (especially below the inguinal ligament or visceral), and hypercoagulable states are poor prognostic indicators.
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