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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Abstract

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.

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