Isquémia aguda de membro inferior: 7 anos de tromboembolectomias em doentes com idade avançada

Introduction: Acute lower limb ischemia (ALLI) is a common emergency in Vascular Surgery, with significant morbidity and mortality. Despite other therapeutic options, thromboembolectomy is still a valid option. The aim of this study is to assess the safety and efficacy of this surgical option in the treatment of ALLI, in elderly patients. Methods: Retrospective, single center study covering the period between January 2010 and December 2016, including all patients at least 80 years old suffering with ALLI, treated by thromboembolectomy. Exclusion criteria were bilateral ALLI, previous revascularization procedures and additional revascularization procedures in the index event. Thirty day major amputation and mortality were the analyzed outcomes. Controlled. Conformable. Predictable. Introducing Experience new levels of control and achieve predictable patient outcomes with precise placement and trusted conformability—even in patients with complex anatomies, such as acute aortic angles. the GORE® TAG® Conformable Thoracic Stent Graft with ACTIVE CONTROL System. Sede Lisboa Delegação Norte Tel: +351 21 424 73 00 Tel: +351 22 377 84 00 info@medicinalia-cormedica.pt Fax:+351 21 417 27 09 Fax: +351 22 370 45 95 www.medicinalia-cormedica.pt 107 Angiologia e Cirurgia Vascular / Publicação Oficial SPACV / www.acvjournal.com ISQUÉMIA AGUDA DE MEMBRO INFERIOR: 7 ANOS DE TROMBOEMBOLECTOMIAS EM DOENTES COM IDADE AVANÇADA using newest endovascular approaches, significant mortality (7-20%) and 30-day amputation (10-25%) occurs.(4-6) This risk seems to be higher in elderly patients. First successful thromboembolectomy is attributed to Georges Labey in 1911. The catheter currently used was designed years later by Fogarty. Despite other therapeutic options, thromboembolectomy is still a valid option. The aim of this study is to assess the safety and efficacy of this surgical option in the treatment of ALLI, in elderly patients.