Abstract
Thromboembolic disease occurs in a heterogeneous group of patients with significant co-morbidities and variable presentations, resulting in high morbidity and mortality rates. To decrease these complications, multiple different endovascular modalities have been developed and used to treat this challenging problem. Physicians are now left with a broad array of endovascular and surgical options. Unfortunately, there are little data that accurately compare these modalities. Therefore, an individual approach to each patient with acute ischemia from thromboembolic disease must be employed. In order to tailor the treatment to the needs of each patient, the physician must be familiar with the techniques, complications, technology, and relative strengths and weaknesses of each treatment modality. This article will first outline the main technical considerations for performing surgical thromboembolectomy. The complications of operative thromboembolectomy will then be discussed followed by the data comparing operative and nonoperative therapy. Finally, clinical scenarios that are best treated by surgical intervention will be described.
References
Mar 1, 1986·Journal of Vascular Surgery·W D TurnipseedD R Voegeli
Apr 1, 1988·Journal of Vascular Surgery·C R BowlesJ F Walter
Jun 1, 1970·Annals of Surgery·J H FosterC P Graham
Aug 1, 1971·American Journal of Surgery·T J FogartyW Krippaehne
Apr 1, 1982·American Journal of Surgery·W M AbbottL S Wirthlin
Sep 1, 1994·Annals of Surgery
Jan 1, 1996·Journal of Vascular Surgery·K OurielA A Sasahara
Feb 19, 1998·Journal of Vascular and Interventional Radiology : JVIR·M J Sharafuddin, M E Hicks
Jul 20, 1999·The Surgical Clinics of North America·R A Wain, F J Veith
Aug 16, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P DesgrangesJ P Becquemin
Apr 5, 2001·Journal of Vascular and Interventional Radiology : JVIR·K KasirajanK Ouriel
Jun 5, 2001·Journal of Vascular Surgery·P KornK C Kent
Jun 16, 2001·Seminars in Vascular Surgery·K KasirajanM Langsfeld
Sep 21, 1907·British Medical Journal·W S Handley
Oct 30, 2015·International Journal of Cardiology·Peysh A PatelAlistair S Hall
Citations
Apr 25, 2006·Surgery Today·Sami KarapolatMuzaffer Aslan
Jul 3, 2008·Journal of Helminthology·S A Shukerova, D Kirin
May 27, 2016·Parasitology·Danny J SheathJ Robert Britton