Comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia
Abstract Background This study aimed to compare the clinical efficacy of digital subtraction angiography (DSA) combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia (ALI). Methods This retrospective cohort study collected the clinical data f...
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| Format: | Article |
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BMC
2021-07-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-021-01297-x |
| _version_ | 1818741781694513152 |
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| author | Hongwei Ge Bin Song Xin Wang Yunfeng Zhu Yiming Huang Weibin Huang Yongbin Zhu |
| author_facet | Hongwei Ge Bin Song Xin Wang Yunfeng Zhu Yiming Huang Weibin Huang Yongbin Zhu |
| author_sort | Hongwei Ge |
| collection | DOAJ |
| description | Abstract Background This study aimed to compare the clinical efficacy of digital subtraction angiography (DSA) combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia (ALI). Methods This retrospective cohort study collected the clinical data from 124 patients (128 affected lower limbs) with ALI who underwent emergency surgery from March 2010 to November 2019. Patients were consecutively divided into Group A and Group B. Patients in Group A underwent simple arterial thrombectomy via the Fogarty catheterization. Patients in Group B underwent arterial thrombectomy, and the DSA was performed during the surgery. The differences in the success rate of primary surgery, the second intervention rate, and the amputation/mortality rate within 30-days after surgery were compared. Results In Group A, 4 of 70 limbs (5.7%) were amputated, 54 of 70 limbs (77.1%) had improved blood flow, 14 of 70 limbs (20.0%) received a second intervention, and 3 of 68 patients (4.4%) died within 30 days. In Group B, 1 of 58 limbs (1.7%) was amputated, 56 of 58 limbs (96.6%) had improved blood flow, 3 of 58 limbs (5.2%) received a second intervention, and 2 of 56 patients (3.5%) died within 30-days. The success rate of primary surgery, the second intervention rate, and the amputation rate of Group B were significantly lower than Group A (P < 0.05). Conclusion Arterial thrombectomy combined with DSA may effectively improve the clinical efficacy of patients with ALI. |
| first_indexed | 2024-12-18T02:02:05Z |
| format | Article |
| id | doaj.art-8462dc71da5a4312ad49862b9a98a11b |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-18T02:02:05Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-8462dc71da5a4312ad49862b9a98a11b2022-12-21T21:24:45ZengBMCBMC Surgery1471-24822021-07-012111710.1186/s12893-021-01297-xComparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemiaHongwei Ge0Bin Song1Xin Wang2Yunfeng Zhu3Yiming Huang4Weibin Huang5Yongbin Zhu6Department of Vascular Surgery, The Third Affiliated Hospital of Soochow UniversityDepartment of Vascular Surgery, The Third Affiliated Hospital of Soochow UniversityDepartment of Vascular Surgery, The Third Affiliated Hospital of Soochow UniversityDepartment of Vascular Surgery, The Third Affiliated Hospital of Soochow UniversityDepartment of Vascular Surgery, The Third Affiliated Hospital of Soochow UniversityDepartment of Vascular Surgery, The Third Affiliated Hospital of Soochow UniversityDepartment of Vascular Surgery, The Third Affiliated Hospital of Soochow UniversityAbstract Background This study aimed to compare the clinical efficacy of digital subtraction angiography (DSA) combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia (ALI). Methods This retrospective cohort study collected the clinical data from 124 patients (128 affected lower limbs) with ALI who underwent emergency surgery from March 2010 to November 2019. Patients were consecutively divided into Group A and Group B. Patients in Group A underwent simple arterial thrombectomy via the Fogarty catheterization. Patients in Group B underwent arterial thrombectomy, and the DSA was performed during the surgery. The differences in the success rate of primary surgery, the second intervention rate, and the amputation/mortality rate within 30-days after surgery were compared. Results In Group A, 4 of 70 limbs (5.7%) were amputated, 54 of 70 limbs (77.1%) had improved blood flow, 14 of 70 limbs (20.0%) received a second intervention, and 3 of 68 patients (4.4%) died within 30 days. In Group B, 1 of 58 limbs (1.7%) was amputated, 56 of 58 limbs (96.6%) had improved blood flow, 3 of 58 limbs (5.2%) received a second intervention, and 2 of 56 patients (3.5%) died within 30-days. The success rate of primary surgery, the second intervention rate, and the amputation rate of Group B were significantly lower than Group A (P < 0.05). Conclusion Arterial thrombectomy combined with DSA may effectively improve the clinical efficacy of patients with ALI.https://doi.org/10.1186/s12893-021-01297-xArterial thrombectomyAcute lower limb ischemiaDigital subtraction angiographyMortality |
| spellingShingle | Hongwei Ge Bin Song Xin Wang Yunfeng Zhu Yiming Huang Weibin Huang Yongbin Zhu Comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia BMC Surgery Arterial thrombectomy Acute lower limb ischemia Digital subtraction angiography Mortality |
| title | Comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia |
| title_full | Comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia |
| title_fullStr | Comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia |
| title_full_unstemmed | Comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia |
| title_short | Comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia |
| title_sort | comparison of digital subtraction angiography combined arterial thrombectomy versus simple arterial thrombectomy in the treatment of acute lower limb ischemia |
| topic | Arterial thrombectomy Acute lower limb ischemia Digital subtraction angiography Mortality |
| url | https://doi.org/10.1186/s12893-021-01297-x |
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