EJVES Extra
Volume 18, Issue 6 , Pages e69-e72 , December 2009

Successful Revascularization with Intraoperative Venous Drainage of Ischemic Limbs Through Hemodialysis in Severe Acute Saddle Aortic Embolism

  • P. Mutirangura

      Affiliations

    • Vascular Surgery Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
    • Corresponding Author InformationCorresponding author. Tel.: +662 411 1808; fax: +662 412 9160.
    • ,
  • K. Chinsakchai

      Affiliations

    • Vascular Surgery Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
    • ,
  • C. Wongwanit

      Affiliations

    • Vascular Surgery Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
    • ,
  • R. Ratanarat

      Affiliations

    • Critical Care Unit, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
    • ,
  • C. Ruangsetakit

      Affiliations

    • Vascular Surgery Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Received 9 March 2009 ,Accepted 8 September 2009.

References 

  1. Dregelid EB, Stangeland LB, Eide GE, Trippestad A. Patient survival and limb prognosis after arterial embolectomy. Eur J Vasc Surg. 1987;1:263–271
  2. Pedrini L, Pisano E, Catizone L, Masetti L, Muttini A, Motta R, et al. Local haemofiltration with free radical scavenger treatment during revascularisation of severe muscular ischaemia induced in sheep limbs. Eur J Vasc Surg. 1992;6:47–52
  3. Haimovici H. Muscular, renal, and metabolic complications of acute arterial occlusions: myonephropathic–metabolic syndrome. Surgery. 1979;85:461–468
  4. Blaisdell FW. The pathophysiology of skeletal muscle ischemia and the reperfusion syndrome: a review. Cardiovasc Surg. 2002;10:620–630
  5. Ali T, Castro J, Young CR, Burnand KG. Complications of reperfusion in acute aortic artery occlusion following saddle embolization originating from an atrial myxoma. Vascular. 2004;12:202–205
  6. Urayama H, Harada T, Kawasuji M, Watanabe Y. Immediate haemodialysis and staged fasciotomy in the treatment of reperfusion injury. Cardiovasc Surg. 1994;2:519–521
  7. Beyersdorf F, Mitrev Z, Eckel L, Sarai K, Satter P. Controlled limb reperfusion as a new surgical technique to reduce postischemic syndrome. J Thorac Cardiovasc Surg. 1993;106:378–380
  8. Wilhelm MP, Schlensak C, Hoh A, Knipping L, Mangold G, Rojas DD, et al. Controlled reperfusion using a simplified perfusion system preserves function after acute and persistent limb ischemia: a preliminary study. J Vasc Surg. 2005;42:690–694
  9. Beyersdorf F, Schlensak C. Controlled reperfusion after acute and persistent limb ischemia. Semin Vasc Surg. 2009;22:52–57
  10. Vogt PR, von Segesser LK, Pagotto E, Lijovic T, Turina MI, et al. Simplified, controlled limb reperfusion and simultaneous revascularization for acute aortic occlusion. J Vasc Surg. 1996;23:730–733

PII: S1533-3167(09)00031-4

doi: 10.1016/j.ejvsextra.2009.09.003

EJVES Extra
Volume 18, Issue 6 , Pages e69-e72 , December 2009

Article Tools

* Image Usage & Resolution