Simplified, controlled limb reperfusion and simultaneous revascularization for acute aortic occlusion
Details
Serval ID
serval:BIB_4C8E0538F612
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Simplified, controlled limb reperfusion and simultaneous revascularization for acute aortic occlusion
Journal
Journal of Vascular Surgery
ISSN
0741-5214
Publication state
Published
Issued date
04/1996
Peer-reviewed
Oui
Volume
23
Number
4
Pages
730-3
Notes
Case Reports
Journal Article --- Old month value: Apr
Journal Article --- Old month value: Apr
Abstract
A 62-year old patient was admitted with a 24-hour history of ischemia in both legs caused by acute distal aortic occlusion and had had a total loss of sensitivity and motor function for 8 hours. Preoperative serum creatine phosphokinase level was 10,900 IU/ml. During aortofemoral reconstruction, both limbs were reperfused with a potassium-free, blood-cardioplegia-like perfusate. Fasciotomies were not necessary. After operation, maximal serum creatine phosphokinase levels remained below 10,000 IU/ml. Limb sensitivity and motor function were normal. Even for prolonged acute aortoiliac occlusion, a simplified controlled limb-reperfusion may preserve skeletal muscle and nerve function and prevent local and systemic complications caused by reperfusion damage.
Keywords
Aortic Diseases/complications/*surgery
Arterial Occlusive Diseases/complications/*surgery
Blood
Cardioplegic Solutions/therapeutic use
Creatine Kinase/blood
Femoral Artery/surgery
Humans
Ischemia/etiology/*surgery
Leg/*blood supply/innervation/surgery
Male
Middle Aged
Muscle, Skeletal/innervation/physiopathology
Paralysis/etiology
*Reperfusion/methods
Reperfusion Injury/prevention & control
Sensation Disorders/etiology
Pubmed
Web of science
Open Access
Yes
Create date
14/02/2008 15:18
Last modification date
20/08/2019 15:01