2015 Volume 55 Issue 5 Pages 79-84
Recently, older patients with advanced atherosclerotic disease contract acute limb ischemia. For these patients, metallic stents were inserted to the aorto-iliac stenotic lesions after thrombectomy with Fogarty catheter. Thirteen patients (16 limbs) were included. There were 5 acute (within 1 day after onset), 4 subacute (between 2 days and 4 weeks after onset), and 4 chronic (more than 4 weeks after onset) cases. Five aortobiiliac occlusions, 7 uni-iliac occlusions, and 1 ilio-femoral occlusion were found by contrast enhancement computed tomography. Operative thrombectomy was performed under the guidance of digital cinefluoroscopy, and followed by intraoperative angiography. Remnant stenotic lesions were treated by balloon angioplasty and stent placement. No remarkable complication was indicated. It is important to be accustomed to both open and fluoroscopically guided techniques to treat acute arterial occlusion in an optimum fashion.
