Abstract
Management of critical limb ischemia of acute onset includes surgical embolectomy, bypass grafting, aspiration thrombectomy, thrombolysis, and mechanical thrombectomy followed by treatment of the underlying cause. We present our experience with the use of stents to treat acute embolic/thrombotic occlusions in one iliac and three femoropopliteal arteries. Although this is a small case series, excellent immediate and midterm results suggest that stenting of acute occlusions of the iliac, superficial femoral, and popliteal arteries is a safe and effective treatment option.
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References
Yeager RA, Moneta GL, Taylor LM Jr, et al. (1992) Surgical management of severe acute lower extremity ischemia. J Vasc Surg 15(2):385–391
Hill SL, Donato AT (1994) The simple Fogarty embolectomy: An operation of the past? Am Surg 60(12):907–911
Ouriel K, Veith FJ, Sashara AA (1998) A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. Thrombolysis or Peripheral Arterial Surgery (TOPAS) investigators. N Engl J Med 338(16):1105–1111
Wagner HJ, Starck EE (1992) Acute embolic occlusions of the infrainguinal arteries: percutaneous aspiration embolectomy in 102 patients. Radiology 182(2):403–407
Morgan R, Belli AM (2002) Percutaneous thrombectomy: a review. Eur Radiol 12(1):205–217
Schillinger M, Sabeti S, Loewe C, et al. (2006) Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Engl J Med 354(18):1879–1888
Levy EI, Ecker RD, Horowitz MB, et al. (2006) Stent-assisted intracranial recanalization for acute stroke: early results. Neurosurgery 58(3):458–463
Berczi V, Thomas S, Turner D, et al. (2006) Stent implantation for acute iliac artery occlusions: initial experience. J Vasc Interv Radiol 17(4):645–649
Yilmaz S, Sindel T, Luleci E (2003) Primary stenting of embolic occlusions in iliac arteries. J Endovasc Ther 10(3):629–635
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Raja, J., Munneke, G., Morgan, R. et al. Stenting in Acute Lower Limb Arterial Occlusions. Cardiovasc Intervent Radiol 31 (Suppl 2), 41–44 (2008). https://doi.org/10.1007/s00270-007-9052-3
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DOI: https://doi.org/10.1007/s00270-007-9052-3