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العنوان
Managment of Acute Limb Ischemia Due to Thromboembolism /
الناشر
Osman Abou-EL-Sebaa Osman Osman,
المؤلف
Osman, Osman Abou-EL-Sebaa Osman
هيئة الاعداد
باحث / عثمان أبو السباع عثمان
مشرف / مدحت مصطفى ثابت
مشرف / مصطفى ناجى الصناديقى
مشرف / السيد ناجى هيبه
الموضوع
Surgery Thromboembolism Acute Limb Ischemia
تاريخ النشر
2001 .
عدد الصفحات
101 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2001
مكان الإجازة
جامعة المنيا - كلية الطب - جراحة عامة
الفهرس
Only 14 pages are availabe for public view

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Abstract

Aim of the work
Aimed at classification and the prevalence of the different causes, the best methods for diagnosis and the different modalities in treatment of acute thromboembolic limb ischemia in MUH, Jan through Dec 2000.
Conclusion
In our study, the main line of treatment was Fogarty catheter embolectomy which is a save, simple and effective method. It was done in 30 cases and yielded 80% limb salvage, 6.6% limb salvage with minor disability, 6.6% amputation and 6.6% mortality.
No operative management using high dose heparin and thrombolytic therapy was done in only few cases (5 cases) and need study in larger groups for better evaluation.
Amputation was done in 3 out of 5 patients presented with neglected limb ischemia and the remaining 2 patients died while waiting till line of demarcation.
Long term anticoagulation with oral agents in vital to decrease the incidence of recurrent emboli.

Lastly, for our non vascular physicians, please put your fingers on distal pulsations in any patient complaining of sudden pain in his extremities, you may save his life and/ or limb.