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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/19543
Title: Acute arterial embolism of the lower extremities: Impact of 24-hour duration on the outcome of management
Authors: Pramook Mutirangura
Chanean Ruangsetakit
Chumpol Wongwanit
Nuttawut Sermsathanasawadi
Khamin Chinsakchai
Mahidol University
Keywords: Medicine
Issue Date: 1-Sep-2008
Citation: Journal of the Medical Association of Thailand. Vol.91, No.9 (2008), 1360-1367
Abstract: Objective: Determine the impact of 24-hour duration of arterial embolism on the outcomes of management. Material and Method: A prospective study of 91 patients with acute arterial embolism of the lower extremities was carried out. Results: Among the 91 patients, 31(34.1%) were with early acute embolism(< 24 hours) and 60 (65.9%) were with late acute embolism (> 24 hours). Extensive limb gangrene was more common in patients with late acute embolism (26.7% versus 3.2%, p = 0.009). Subsequently, primary major amputation was higher in those patients (20% versus 3.2%, p = 0.05). In early acute embolism, surgical embolectomy was only the primary treatment of revascularization (87.1%) whereas in late acute embolism, there were varying modalities of revascularization (68.3%) in addition to surgical embolectomy. The successful revascularization after the initial surgical embolectomy was significantly higher in patients with early acute embolism (92.6% versus 43.9%, p < 0.001). Patients with late acute embolism had a higher tendency of undergoing major amputation after revascularization (24.4% versus 7.4%, p = 0.106). Successful outcome was higher in patients with early acute embolism (83.9% versus 58.3%, p = 0.014). Conclusion: The 24- hour duration of arterial embolism may be a crucial factor influencing the outcome in the management of this disease.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=52949116402&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/19543
ISSN: 01252208
01252208
Appears in Collections:Scopus 2006-2010

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