Safety and efficacy of an endovascular-first approach to acute limb ischemia

Poursina, Olia; Elizondo-Adamchik, Hector; Montero-Baker, Miguel; Pallister, Zachary S.; Mills, Joseph L.; Chung, Jayer

doi:10.1016/j.jvs.2020.10.002

Cited by 15 publications

(3 citation statements)

References 21 publications

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“…There are also studies on patients with acute on chronic limb ischemia and treated with endovascular manner showed 85-97% technical success rates (10,11). One of the reasons for the high technical success achieved in the current study can be the short latency duration for the intervention.…”

Section: Discussionmentioning

confidence: 59%

Endovasküler Yöntemlerle Tedavi Ettiğimiz Akut Alt Ekstremite Emboli Deneyimlerimiz

Atay

Saydam

2022

Genel Tıp Dergisi

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Objectives:The study aims to retrospectively evaluate the 1-year results of endovascular treatment with rheolytic thrombectomy or catheter-directed thrombolytic infusion therapy in acute femoropopliteal bypass graft occlusion. Methods: The patients who had a history of femoro-popliteal by-pass operation and during their follow-up diagnosed with ipsilateral acute limb ischemia between 2016 and 2018 were included. The total of 13 patients were included and they were divided into two groups according to their treatment methods. (Rheolytic thrombectomy (RT): 8; catheter-directed thromolytic infusion (CDT): 5). Results: There was no statistically significant difference between the two groups in terms of demographic data and Rutherford embolism classification. RT and CDT infusion primary patency values were 87.5% and 80% for 6 months, 75% and 60% for 12 months, respectively. Secondary patency values were found to be 100% in both groups for 6 months, and 87.5% and 80% for 12 months, respectively. There was no significant difference between the two groups in terms of primary and secondary patency. Conclusion: Endovascular therapy can be preferred in the treatment of acute femoro-popliteal by-pass graft occlusion in selected patient groups due to its less invasiveness, early mobilization, and low mortality and morbidity rates compared to surgery.

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Section: Discussionmentioning

confidence: 59%

Endovasküler Yöntemlerle Tedavi Ettiğimiz Akut Alt Ekstremite Emboli Deneyimlerimiz

Atay

Saydam

2022

Genel Tıp Dergisi

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“…In recent years, endovascular intervention for lower limb ischemia has often been the first choice of treatment. 8 , 9 However, we believe it is important to recognize that when the cause is thromboembolism due to the occlusion of an artificial vessel graft, the graft should be disconnected and reported.…”

Section: Discussionmentioning

confidence: 99%

Repeated acute lower limb ischemia due to complete occlusion of an artificial vessel graft: A case report

Tamura

Abe

2023

Clinical Case Reports

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Key Clinical Message In cases involving an occluded artificial blood vessel graft, thrombosis of the vessel can cause lower limb ischemia. When thromboembolism develops, it is essential to rule out the complete occlusion of an artificial blood vessel graft as the cause. Abstract A 60‐year‐old woman with bilateral superficial femoral artery occlusion underwent femoral‐popliteal bypass surgery. Six months later, left vascular prosthesis occlusion occurred; 1.5 years later, an occlusive embolus developed in the deep femoral artery. The proximal prosthesis aspect was detached from the native vessel. The limb was salvaged with bypass surgery.

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“…Despite significant progresses achieved in many fields of vascular surgery during the last decades the outcomes of ALI treatment generally remain unchanged [ 1 ]. Mortality and major amputation rates reported in contemporary series both exceed 10% within 30 days of follow-up [ 2 , 3 ]. Challenges in management of ALI could be explained by significant variability of causes and underlying vascular conditions, versatility of curative approaches, short time available for limb salvage, frailty and polymorbidity of most patients.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Surgical Revascularization for Acute Limb Ischemia in COVID-19 Patients Comparing to Noninfected Cohort: A Single-Center Observational Prospective Study

Predenciuc

Casian

Culiuc

2023

Annals of Vascular Surgery

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Safety and efficacy of an endovascular-first approach to acute limb ischemia

Cited by 15 publications

References 21 publications

Endovasküler Yöntemlerle Tedavi Ettiğimiz Akut Alt Ekstremite Emboli Deneyimlerimiz

Endovasküler Yöntemlerle Tedavi Ettiğimiz Akut Alt Ekstremite Emboli Deneyimlerimiz

Repeated acute lower limb ischemia due to complete occlusion of an artificial vessel graft: A case report

Outcomes of Surgical Revascularization for Acute Limb Ischemia in COVID-19 Patients Comparing to Noninfected Cohort: A Single-Center Observational Prospective Study

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