Yüksel DERELİ, Ramis ÖZDEMİR, Kemalettin HOŞGÖR, Musa AĞRIŞ, Ali Suat ÖZDİŞ, Nihan KAYALAR

Acute peripheral arterial occlusion: A review of 137 cases

Amaç: Akut periferik arteriyel oklüzyon nedeniyle cerrahi tedavi uygulanan hastalar değerlendirildi. Çalışma planı: Ocak 2005 - Şubat 2011 tarihleri arasında, akut periferik arteriyel tıkanıklık nedeniyle cerrahi tedavi uygulanan 137 hasta (74 erkek, 63 kadın; ort. yaş 62.85 yıl; dağılım 34-91 yıl) retrospektif olarak değerlendirildi. Bulgular: Arteriyel oklüzyon, 25 hastada sağ üst ekstremitede, 16 hastada sol üst ekstremitede, 48 hastada sağ alt ekstremitede, 39 hastada sol alt ekstremitede ve dokuz hastada ise iki taraflı alt ekstremitede idi. Altmış bir hasta ilk 12 saat içinde, 76 hasta ise 12 saatten sonra başvurmuştu. Tüm hastalara embolektomi uygulandı. Reküren iskemi gelişen 17 hastaya (%12.4) tekrar embolektomi uygulandı. Dokuz hastaya (%6.56) amputasyon uygulandı. Mortalite oranı altı hasta ile %4.37 idi. Sonuç: Akut arteriyel oklüzyonlar, yüksek mortalite ve morbidite oranları ile ilişkilendirilir. Erken tanı ve cerrahi girişim mortalite ve morbiditenin azaltılmasında önemli rol oynar.

Akut periferik arteriyel tıkanıklık: 137 olgu sunumu

Background: We evaluated the patients who were performed surgical treatment due to acute peripheral arterial occlusion. Methods: Between January 2005 and February 2011, 137 patients (74 males, 63 females; mean age 62.85 years; range 34 to 91 years) who underwent surgical treatment due to acute peripheral arterial occlusion were evaluated retrospectively. Results: The arterial occlusion was on the right upper extremity in 25 patients, on the left upper extremity in 16 patients, on the right lower extremity in 48 patients, on the left lower extremity in 39 patients and bilateral lower extremity in nine patients. Sixy-one patients were admitted within the first 12 hours, while 76 patients were admitted after the first 12 hours. Embolectomy was performed on all patients. Reembolectomy was done for 17 patients (12.40%) with recurrent ischemia. Amputation were performed on nine patients (6.56%). Mortality rate was 4.37% with six cases. Conclusion: Acute arterial occlusions are associated with high mortality and morbidity rates. Early diagnosis and surgical intervention play a significant role in reducing mortality and morbidity.

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