Acute Arterial Occlusion, Its Minimally Invasive Management and Outcomes

Introduction: Acute limb ischemia carries a heavy burden of morbidity and mortality. In our department we have utilized the use of pharmacochemical thrombolysis for the management of acute limb ischemia, giving a minimally invasive option particularly within the comorbid.

Method(s): Retrospective review between 2018 and 2021 of patients that underwent Angiojet for arterial occlusions. The outcomes and points being technical success, reintervention, major amputation rate, complications, and mortality.

Result(s): We identified 70 procedures on 65 patients with technical success in 94% with a 10% complication rate. The medial length of stay was 7 days with a reintervention rate of 17% (n = 12) in 6 months. The medial length of stay was 7 days with a major amputation rate of 12.8%.

Conclusion(s): We establish a minimally invasive surgery that can be considered in ALI. It presents an endovascular solution not only for thrombolysis but also an opportunity to address and rectify the offending limb.

Publication History

Article published online:
09 February 2023