AKUT ARTER TIKANMALARINDA MORTALİTE VE MORBİDİTEYİ ETKİLEYEN FAKTÖRLER

Year 1981, Volume: 34 Issue: 2, 249 - 260, 11.08.1981

Erdal Anadol

https://izlik.org/JA24TJ26YC

Abstract

Kliniğimizde akut arter tıkanması tanısı almış 85 vaka, retrospektif olarak incelenerek mortalite ve morbiditeyi etkileyen faktörler araştırılmıştır. Vak'aların altmışı arteriel embolizm yirmibeşi ise akut arter trombozu vakası idi. Arteriel embolizm'de en uygun tedavi tıkanmadan itibaren zaman yitirilmeden Fogarty kateteri ile embolektomi yapılmasıdır. İlk altı saat içinde müracaat edip embolektomi uygulanan vakalarda tedavi % 80 oranında tam iyileşme sağlarken ilk yirmi dört saat içindeki girişimlerde başarı oranı % 72 ye duşmekte ve zamanın gecikmesi oranında başarı oranı düşmektedir. Serimizdeki mortalite oranı % 25 gibi yüksek bir rakama ulaşmaktadır. Bunun nedenleri incelendiği zaman vakaların tedaviye geç gelmelerinin yanında, primer hastalık olan kalp hastalığının ciddi tabiatı, yandaş hastalıklar ve tikanmadan sonra geçen süre içinde gelişen venöz trombozis ile birlikte metabolik değişikliklerin önemli rol oynadığı dikkati çekmektedir.

Keywords

kalp hastalığ , venöz trombozis , akut arter

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Akut Arter Tıkanmalarında Mortalite ve Morbiditeyi Etkileyen Faktörler

https://izlik.org/JA24TJ26YC

Abstract

Peripheral arterial embolism continiues to be a common clinical occurence. It is now generally held that most accesible arterial emboli are best managed by
surgical means. Despite innovation in therapeutic methods mortality remains high because of the serious nature of the underlying cardiac discase. A series of 85 cases with acute arterial obstruction has been presented. Sixty of the cases were arterial emboli and twenty five acute arterial thrombosis. The mortality rate in the embolectomy group were 25 percent, while the amputation rate were 12.5 percent. « While no arbtirary time limit need be set for embolectomy best results follow when diagnosis is made promptly and operation done without delay, especially within the first 24 hours after onset. As long as the limb is alive, there’s a
chance to revascularise it. The only contraindication is advanced rigor. Biochemical changes secondary to ischemia due to arterial embolism must be considered, because it has been pointed out that these changes joining with venous thombosis seems to be the major cause of limb necrosis and mortality.

Keywords

thombosis , percent , common

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References

• 1. - Cranley JJ, Krause RJ : Arteriel embolism, Vascular Surgery Vol 1 Peripheral arterial discases pp : 93 Harper and Row publishers 1972
• 2 - Darling RC, Austen WG : Arteriel embolism, Surg Gynec Obstet 124 : 106, 1967
• 3 - Fisher RD, Fogarty TI Marrow AG : Effect of temporory fenoarl artery oclusion on the femoral venous efflux in man Surgical Forum 18 : 188, 1967
• 4 - Fisher RD, Fogarty TJ, Morrov AG : Clinical and biochemical observations of the effech of transient femoral artery occlusion in man Surgery 68 : 323, 1970
• 5 - Fogarty TJ, Cranley JJ, Krause RJ, Strasser ES, Hafner CD : A method for extraction of arterial emboliand thrombi Surg. Gynec. Obstet. 116 : 241, 1963
• 6 - Fogarty TJ : Catheter technic for arteriel embolectomy J. Cardiyovascular Surg. 8 : 22, 1967
• 7 - Fogarty TJ : Acute artericl occlusion Davies Christopher Text book of Surgery pp : 1969 1I. edition WB Saunders Co 1977
• 8 - Herman BE, Wallace HW, Gadboys HL, Litwak R : Anterior crural syndrome as a complication of cardiopulmonany by-pass J. Thor. Cardiovascular Surg. 52 : 755, 1966
• 9 - Husni EA : The edema of the arteriel recostriction Circulation 35 : 169, 1967
• 10 - Krause RJ, Cranley 1J, Strasser ES, Hafner CD, Fogarty TJ : Further experience with a new embolectomy catheter Surgery 59 : 81, 1966
• 11 - Linton RR : Peripheral artericl embolism. Adiscussion of the post embolic vascular changes and their relation to the restoration of circulation in peripheral embolism N. Eng. J. Med. 224 : 189, 1941
• 12 - Levy JF, Butcher HR : Arteriel emboli, An analysis of 125 patients Surg 68 : 968, 1970
• 13 - Ochsner JL, Meredith LS : Peripheral artericl thromboembolism Vascular Surgery pp : 185 William H. Edwards Univ Park Press 1976
• “ 14 - Spencer FC, Eiseman B : Delayed rateriöl embolectomy a new concept Surgerd 55 : 64, 1964
• 15 - Stallone RJ, Blaisdel FW, Cafferata HT, Lewin SM : Analysis of morbidity and mortality from arteriel embolectomy Surg 65, : 80-85, 1969
• 16 - Thompson JE, Sigler L, Raut PS, Austin DJ, Patman PD : Arteriel embolectomy, A20 year experience with 163 cases Surgery 67 212 ¢ 1970
• 17 - Yaycioglu A, Anbal D, Tatlicioglu E : Akut Arter Tıkanmaları Cerrahi Damar Hastalıkları sayfa 208, Nuray Matbaası 1978