Abstract:

Objective   To study the diagnosis and treatment of patients with acute leg ischemia. Methods   The etiology, therapeutic methods, prognosis and other clinical data were retrospectively analyzed for 67 patients with acute leg ischemia, who were hospitalized from September 2003 to March 2010. Results   Among the 67 patients, 58 accepted surgery, including leg arterial cut and Fogarty catheter thrombectomy in 32, leg arterial cut and Fogarty catheter thrombectomy with endovascular therapy in 20, leg arterial cut and Fogarty catheter thrombectomy with artificial vascular bypass in 4, and leg arterial cut and interlayer frame implantation in 2.  The other 9 accepted conservative therapy. The final results were leg salvage in 59(88.1%), amputation in 5(7.4%), and death in 3(4.5%). Conclusion   To get a satisfactory clinical result, an individual therapeutic scheme should be carried out for acute leg ischemia with different etiologies. 

Key words: Retrospective analysis; Acute legs ischemia; Thrombectomy; Endovascular therapy; Artificial vascular bypass