Abstract

PEREZ PRADA, Krystel Johana; PEREZ HERNANDEZ, Raiko Antonio  and  TORRES TAMAYO, Carlos Noel. Late embolectomy in acute lower limb ischemia. Rev Cubana Angiol Cir Vasc [online]. 2017, vol.18, n.2, pp.208-217. ISSN 1682-0037.

Acute ischemia is the sudden interruption of the blood flow in a specific area of the body. Its most common cause is arterial embolism consisting of abrupt occlusion of a healthy artery by thrombotic residues formed in an area near the stroke and unleashing a clinical picture that should be adequately diagnosed and treated to avoid death. There is close relationship between the severity of ischemia and the time elapsed because if no aggressive actions are taken in due time, the results are rarely satisfactory. Revascularization is considered less effective 8 to 10 hours after ischemia. After this time many surgeons refrain from performing surgery due to the frightening reperfusion syndrome. However some had documented successful results with late embolectomy. Here is a case of arterial embolism in right lower limb owing to cardiac arrhythmia. The patient arrived to the Vascular Surgery service after 72 hours of the event; he was performed femoral embolectomy with Fogarty catheter and the achieved results were satisfactory, which supports the hypothesis of trying to reperfusing the affected limb whenever tissue viability exists and gangrene is not present, regardless of time elapsed.

Keywords : Acute ischemia; late embolectomy; reperfusion syndrome.

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