| Efficacy of prophylactic incision decompression in acute lower extremity arterial embolism |
| Received:May 02, 2022 Revised:May 20, 2022 Click here to download the full text |
| Citation of this paper:FENG Gui-lin,XUE Qing-quan,XIA You-chuan,XU Bei,ZHANG An-dong,LI Fang-kuan,HU Ji-qiong.Efficacy of prophylactic incision decompression in acute lower extremity arterial embolism[J].Chinese Journal of Clinical Medicine,2022,29(4):674-679 |
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| Author Name | Affiliation | E-mail | | FENG Gui-lin | Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China | | | XUE Qing-quan | Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China | | | XIA You-chuan | Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China | | | XU Bei | Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China | | | ZHANG An-dong | Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China | | | LI Fang-kuan | Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China | | | HU Ji-qiong | Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China | wuhuph999@163.com |
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| Abstract:Objective To observe the effect of prophylactic incision decompression on patients with acute lower extremity arterial embolism underwent arterial embolectomy. Methods Clinical data of 17 patients with acute lower extremity arterial embolism who received arterial embolectomy and prophylactic incision decompression simultaneously during the surgery in the First Affiliated Hospital of Wannan Medical College from January 2016 to December 2021 were retrospectively analyzed. The safety and efficacy of procedures were assessed through postoperative follow-up. Results The technical success rate was 100%. 1 patient healed spontaneously without suture, 10 patients received secondary debridement and suture, 6 patients received first-stage reserved suture and delayed suture. The median follow-up time was 12 months. Of these patients, 13 patients healed up. Mild and severe motor or sensory impairment of lower extremity before surgery improved after surgery in 2 and 2 patients. No skin-grafting or amputation was needed. Conclusions Prophylactic incision decompression is safe and effective in patients with acute lower extremity arterial embolism during arterial embolectomy. |
| keywords:prophylactic incision decompression acute lower extremity arterial embolism ischemia-reperfusion injury |
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