Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower Extremity

Objectives: The study aims to retrospectively evaluate the 1-year results of endovascular treatment with rheolytic thrombectomy(TR) or catheter-directed thrombolytic(CDT) infusion therapy in acute femoro-popliteal bypass graft occlusion. Methods: The patients who had a history of femoro-popliteal b...

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Main Authors: Onur Saydam, Mehmet Atay
Format: Article
Language:English
Published: Selçuk University 2022-02-01
Series:Genel Tıp Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/2077322
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author Onur Saydam
Mehmet Atay
author_facet Onur Saydam
Mehmet Atay
author_sort Onur Saydam
collection DOAJ
description Objectives: The study aims to retrospectively evaluate the 1-year results of endovascular treatment with rheolytic thrombectomy(TR) or catheter-directed thrombolytic(CDT) infusion therapy in acute femoro-popliteal bypass graft occlusion. Methods: The patients who had a history of femoro-popliteal by-pass operation and during their follow-up diagnosed with ipsilateral acute limb ischemia between 2016 and 2018 were included. The total of 13 patients were included and they were divided into two groups according to their treatment methods (RT, n=8 vs CDT, n=5). Results: There was no statistically significant difference between the two groups in terms of demographic data and Rutherford embolism classification. Reolitic thrombectomy and catheter-directed thromolytic infusion primary patency values were 87.5% and 80% for 6 months, 75% and 60% for 12 months, respectively. Secondary patency values were found to be 100% in both groups for 6 months, and 87.5% and 80% for 12 months, respectively. There was no significant difference between the two groups in terms of primer and sekonder patency. Conclusion:Endovascular therapy can be preferred in the treatment of acute femoro-popliteal by-pass graft occlusion in selected patient groups due to its less invasiveness, early mobilization, and low mortality and morbidity rates compared to surgery,
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spelling doaj.art-8e01b6d97d474acfaa71afef3537e5832023-09-14T08:47:57ZengSelçuk UniversityGenel Tıp Dergisi2602-37412022-02-01321394410.54005/geneltip.1022548154Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower ExtremityOnur Saydam0Mehmet Atay1Tepecik Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahi KliniğiBahçelievler Devlet HastanesiObjectives: The study aims to retrospectively evaluate the 1-year results of endovascular treatment with rheolytic thrombectomy(TR) or catheter-directed thrombolytic(CDT) infusion therapy in acute femoro-popliteal bypass graft occlusion. Methods: The patients who had a history of femoro-popliteal by-pass operation and during their follow-up diagnosed with ipsilateral acute limb ischemia between 2016 and 2018 were included. The total of 13 patients were included and they were divided into two groups according to their treatment methods (RT, n=8 vs CDT, n=5). Results: There was no statistically significant difference between the two groups in terms of demographic data and Rutherford embolism classification. Reolitic thrombectomy and catheter-directed thromolytic infusion primary patency values were 87.5% and 80% for 6 months, 75% and 60% for 12 months, respectively. Secondary patency values were found to be 100% in both groups for 6 months, and 87.5% and 80% for 12 months, respectively. There was no significant difference between the two groups in terms of primer and sekonder patency. Conclusion:Endovascular therapy can be preferred in the treatment of acute femoro-popliteal by-pass graft occlusion in selected patient groups due to its less invasiveness, early mobilization, and low mortality and morbidity rates compared to surgery,https://dergipark.org.tr/tr/download/article-file/2077322akut ekstremite iskemisikateter aracılı trombolitikreolitik trombektomiacute limb ischemiacatheter-directed thrombolytic therapyrheolytic thrombectomy
spellingShingle Onur Saydam
Mehmet Atay
Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower Extremity
Genel Tıp Dergisi
akut ekstremite iskemisi
kateter aracılı trombolitik
reolitik trombektomi
acute limb ischemia
catheter-directed thrombolytic therapy
rheolytic thrombectomy
title Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower Extremity
title_full Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower Extremity
title_fullStr Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower Extremity
title_full_unstemmed Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower Extremity
title_short Our Experiences in Acute Arterial Embolism Treatment with Endovascular Techniques in Lower Extremity
title_sort our experiences in acute arterial embolism treatment with endovascular techniques in lower extremity
topic akut ekstremite iskemisi
kateter aracılı trombolitik
reolitik trombektomi
acute limb ischemia
catheter-directed thrombolytic therapy
rheolytic thrombectomy
url https://dergipark.org.tr/tr/download/article-file/2077322
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AT mehmetatay ourexperiencesinacutearterialembolismtreatmentwithendovasculartechniquesinlowerextremity