RESULTS OF PROCEDURE FOR TREATMENT OF ACUTE LOWER LIMB ISCHEMIA IN MILITARY HOSPITAL 103 FROM 2020 TO 2024

Duy Hòa Khuất, Đức Hùng Trần, Đức Thắng Vũ

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Abstract

Objective: Evaluate signs, symtoms, examinations and the outcomes of treatment acute lower limb ischemia in Military hospital 103. Subjects and methods: 32 patients with acute lower limb ischemia undergone surgery from 01/2020 to 06/2024. The study describes a series of cases, retrospective. Results: The mean age was 73,41 ± 10,08, male 71,89%; 62,5% had atrial fibrillation, 56,25% mitral stenosis or regurgitation, 65,6% peripheral artery disease. The mean hospitalized time was 100,84 ± 106,07 hours; the group from 6 to 24 hours presented in 21,9% and over 24h group presented in 62,5% pts. For 42 diseased limbs, there were 64,3% undergone embolectomy alone, 26,1% combined with fasciotomy, 7,1% with primary amputation (belongs to late 24h admission’group). 85,7% of limb was salvage, 14,2% of limb was amputation totally, 1 patient was died and 1 severe patient stopped treatment to back home. The limb salvage’s ratio was higher in the early 24h admission’group (100% compare to 70%; p = 0,043). Conclusion: Embolectomy was the main method in the acute lower limb ischemia treatment. Atrial fibrillation, mitral stenosis were still significant prevalents. Most patients were hospitalized late resulting the bad outcome.

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References

1. Bjorck M., (2020), "Editor's choice–European Society for Vascular Surgery (ESVS) 2020 clinical practice guidelines on the management of acute limb ischaemia." 59(2), tr. 173-218.
2. Ozgur D., Ali K. M. và Bilgehan E., (2012), "Analysis of risk factors for amputation in 822 cases with acute arterial emboli." The Scientific World Journal. 2012(1), tr. 673483.
3. Tripathy G., (2023), "Spectrum of acute limb ischemia and management-A single-center study in Northern India." 16(8), tr. 253-253.
4. Ilic M., (2000), "Arterial embolisms of the lower extremities." Srpski Arhiv za Celokupno Lekarstvo. 128(7-8), tr. 234-240.
5. Phan Văn Thành và Đoàn Quốc Hưng, (2018), "Điều trị phẫu thuật thiếu máu cấp tính chi dưới do thuyên tắc động mạch tại bệnh viện hữu nghị Việt Đức." Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam. 19, tr. 3-8.
6. Thomas H. R., (2001), "Acute ischemia of the upper extremity: long-term results following thrombembolectomy with the Fogarty catheter." Langenbeck’s Archives of Surgery. 386, tr. 261-266.
7. Rothenberg K. A., (2019), "Delayed fasciotomy is associated with higher risk of major amputation in patients with acute limb ischemia." 59, tr. 195-201.
8. Poluektov LV., (1983), "Arterial embolism and acute thrombosis in patients with arteriosclerosis and rheumatic heart disease." Kardiologiia. 23(2), tr. 43-46.