Subject(s)
Biomedical Research/history , Coronary Circulation , Embolism/history , Microcirculation , Myocardial Contraction , Myocardial Ischemia/history , Myocardial Stunning/history , Myocardium , Oxygen Consumption , Animals , Dogs , Embolism/metabolism , Embolism/physiopathology , History, 20th Century , Myocardial Ischemia/metabolism , Myocardial Ischemia/physiopathology , Myocardial Stunning/metabolism , Myocardial Stunning/physiopathology , Myocardium/metabolismABSTRACT
The history of clot removal consists primarily of efforts at procedures, techniques, and instruments that had suboptimal performance. In the 1960s, the amputation and death rates following attempts at removal were as high as 50%. A wide variety of instruments were used but none were specifically designed for embolus and thrombus removal. The need was obvious but the problem was unresolved.
Subject(s)
Arterial Occlusive Diseases/history , Catheterization/history , Embolectomy/history , Embolism/history , Extremities/blood supply , Ischemia/history , Thrombectomy/history , Thrombosis/history , Acute Disease , Arterial Occlusive Diseases/complications , Arterial Occlusive Diseases/surgery , Catheterization/instrumentation , Embolectomy/instrumentation , Embolism/complications , Embolism/surgery , Equipment Design , History, 20th Century , Humans , Ischemia/etiology , Ischemia/surgery , Thrombectomy/instrumentation , Thrombosis/complications , Thrombosis/surgery , Treatment OutcomeSubject(s)
Bone Regeneration , Bone Transplantation/history , Osteonecrosis/history , Adult , Animals , Child, Preschool , Embolism/complications , Embolism/history , Fractures, Bone/complications , Fractures, Bone/history , History, 20th Century , Humans , Joint Diseases/complications , Joint Diseases/history , Male , Osteonecrosis/etiology , Osteonecrosis/physiopathology , Osteonecrosis/surgery , Risk Factors , Vascular Diseases/complications , Vascular Diseases/historyABSTRACT
A embolia arterial periférica é uma doença frequente entre as urgências vasculares e apresenta índices de morbidade e de mortalidade elevados. Setenta e dois doentes que foram submetidos à embolectomia arterial de membros inferiores são analisados retrospectivamente, com o objetivo de estudar, pela análise multivariada, a influência de diferentes fatores na morbidade e na mortalidade do procedimento operatório. A mortalidade opertória da série foi de 25 'por cento', sendo 44,4 'por cento', de origem cardíaca. A análise estatística foi realizada pela análise multivariada (MULTLR). A rabdomiólise, a exploração da artéria poplítea e a aterosclerose periférica foram os fatores de risco para a amputação. Além da exploração da artéria poplítea e da aterosclerose periférica, a impotência funcional à admissão e a doença pulmonar obstrutiva crônica foram os fatores de risco para complicaçöes sistêmicas. A análise da mortalidade identificou como fatores de risco a complicação pulmonar, a síndrome de revascularização tardia e o infarto do miocárdio.