Akut alt ekstremite nativ arteriyel tıkanıklarında tromboembolektomi sonrası amputasyon ve mortalitenin belirleyicileri; erken müdahalenin etkisi: Retrospektif kohort çalışma

Amaç: Akut arter tıkanıklığı, ekstremite canlılığını tehdit eden ani bir ekstremite kan akımının tıkanması durumudur. Akut arter tıkanıklığında, ampütasyon riskini ortadan kaldırmak için erken / acil müdahale gerekir, ancak bu vakalardan bazılarında tanı gecikmiştir. Bu çalışmanın amacı, cerrahi zamanlamanın amputasyon insidansına etkisini ve ekstremite kaybı riskini etkileyen diğer faktörleri değerlendirmektir. Yöntemler: Tromboembolektomi uygulanan 154 hasta incelendi. Hastalar üç gruba ayrıldı: Grup 1: semptomlar 12 saatten daha kısa süreli, Grup 2: semptomlar 12 saatten fazla ancak bir haftadan kısa süreli, Grup 3: semptomlar bir haftadan daha uzun süreli. Gruplar ve kohort ampütasyon ve mortaliteye göre değerlendirildi. Bulgular: Grup 1'de amputasyon insidansı diğer iki gruba göre anlamlı olarak daha düşüktü (P

Anahtar Kelimeler:

Amputasyon, Balon Embolektomi, Akut arter tıkanıklığı

Determinants of amputation and mortality following thromboembolectomy in native acute lower limb arterial occlusions, the influence of early intervention: A retrospective cohort study

Aim: In acute arterial occlusion, there is a sudden blockage of blood flow to the extremity, threatening its viability. Early/emergency intervention is required to eliminate the risk of amputation, but some of these cases receive a delayed diagnosis. The aim of this study is to evaluate the influence of surgical timing on the incidence of amputation and other factors affecting the risk of extremity loss. Methods: A total of 154 patients who underwent thromboembolectomy were analyzed. The patients were categorized into three groups, as follows: Group 1 included patients with symptoms present for less than 12 hours, Group 2 comprised those with symptoms present for more than 12 hours but less than one week, and Group 3 included patients with symptoms present for more than one week. The groups were evaluated in terms of amputation and mortality. Results: The incidence of amputation was significantly lower in Group 1 compared to the other two groups (P

Keywords:

Amputation, Balloon embolectomy, Acute arterial occlusion,

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