Upper limb ischemia: a four year experience.

Grover, Tarun; Gupta, Ashok; Agarwal, Sandeep and Parakh, Rajiv (2002) Upper limb ischemia: a four year experience. Indian Journal of Surgery, 64 (1). pp. 56-58.

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Purpose: To report the outcome results of the combined use of surgery and thrombolysis over the last four years. Methods: We reviewed all the patients with upper limb ischaemia over the last four years.(n=31 ) the age range, sex distribution,seasonal variation, associated cardiac problem and symptoms at presentation were recorded. 11 patients(35.9%) presented with chronic symptoms. 20(64.5%) patients with critical ischaemia underwent a branchial embolectomy with intraoperative thrombolysis. 3 Patients underwent a subclavian angioplasty and setting. All others(n=8) were taken up for the appropriate surgical procedure. Results: In 16(80%) patients with acute ischemia, we were able to restore a pulse at the wrist. 14 patients(87.5%) had a fully functional limb at the end of 3 months. 3 Patients(15%) who underwent a subclavian stenting were doing well at the end of three months. Conclusion: The use of intraoperative thrombolytic agents has helped us in improving the outcome of patients with upper limb ischemia.

EPrint Type:Article
Uncontrolled Keywords:Upper Limb Ischaemia, Thrombolysis, Age, Sex Distribution, Branchial Embolectomy, Intraoperative Ischaemia, Subclavian Angioplasty, Stenting
Subjects:Persons > Age Groups
Therapeutics > Drug Therapy
Genetic Phenomena > Sex Ratio
Cardiovascular Diseases > Vascular Diseases > Ischemia
Body Regions > Extremities
Health Occupations > Medicine > Specialties, Surgical > Surgery
-Institutional Repositories > Sir Ganga Ram Hospital, New Delhi
Surgical Procedures, Operative > Cardiovascular Surgical Procedures
Equipment and Supplies > Prostheses and Implants
Cardiovascular Diseases > Vascular Diseases > Embolism and Thrombosis
Investigative Techniques > Catheterization
ID Code:2349
Deposited By:Sir Ganga Ram Hospital
Deposited On:28 September 2007

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