Diagnosis and management attitude for acute peripheral arterial embolism

ABSTRACT

The study involved 44 patients (22 males, 18 females, aged from 33 to 94 years) with acute ischemia of extremities due to peripheral arterial embolism, who were undergoing surgery for removing clots at ViÖt - §øc Hospital from January 1998 to December 2001. Results: the common clinical signs included the lack of pulse, cold extremities; loss sense and movement were advanced signs. Rate of amputation was high. 5 cases were given preoperative anticoagulation. One had to be amputated. 2 cases were received conservative management with fasiotomy. 2 cases were fail to angioplasty because of necrosis. Maintaining postoperative anticoagulation improved the chance of full extremity repairing prevented from recurrence, especially when the embolism was resolved