Acute upper limb ischemia: 30 years’ experience
The OBJECTIVE of the study was to assess the current trends in the surgery of acute upper limb ischemia (AULI). MATERIAL AND METHODS. We performed the comparative analysis of clinical data and treatment results of 261 patients with AULI urgently treated between 2008 and 2018 years (main group) and 1...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2019-09-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1171 |
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| author | M. V. Mel'nikov A. V. Sotnikov P. A. Susla G. G. Papava |
| author_facet | M. V. Mel'nikov A. V. Sotnikov P. A. Susla G. G. Papava |
| author_sort | M. V. Mel'nikov |
| collection | DOAJ |
| description | The OBJECTIVE of the study was to assess the current trends in the surgery of acute upper limb ischemia (AULI). MATERIAL AND METHODS. We performed the comparative analysis of clinical data and treatment results of 261 patients with AULI urgently treated between 2008 and 2018 years (main group) and 162 patients with AULI treated between 1975 and 1985 years (control group). RESULTS. For the past 30 years, there were the growing rate of AULI. In 92.7 % of cases, the main cause of AULI was embolism. The main disease leading to embolism became atrial fibrillation in 80.8 % of cases. For the past decades, there was a significant improvement of treatment results in patients with AULI: complete extremity blood flow supply was achieved in 95 % in main group vs 90.5 % in control group (p<0.05); postoperative mortality rate significantly decreased to 3.5 vs 8.8 % respectively (p<0.05). CONCLUSION. AULI continued to remain the actuality in modern vascular surgery. |
| format | Article |
| id | doaj-art-9adf513a79d142f3bca315ed704a7ee8 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2019-09-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-9adf513a79d142f3bca315ed704a7ee82025-08-20T03:43:57ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252019-09-011784424610.24884/0042-4625-2019-178-4-42-461036Acute upper limb ischemia: 30 years’ experienceM. V. Mel'nikov0A. V. Sotnikov1P. A. Susla2G. G. Papava3North-West State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovThe OBJECTIVE of the study was to assess the current trends in the surgery of acute upper limb ischemia (AULI). MATERIAL AND METHODS. We performed the comparative analysis of clinical data and treatment results of 261 patients with AULI urgently treated between 2008 and 2018 years (main group) and 162 patients with AULI treated between 1975 and 1985 years (control group). RESULTS. For the past 30 years, there were the growing rate of AULI. In 92.7 % of cases, the main cause of AULI was embolism. The main disease leading to embolism became atrial fibrillation in 80.8 % of cases. For the past decades, there was a significant improvement of treatment results in patients with AULI: complete extremity blood flow supply was achieved in 95 % in main group vs 90.5 % in control group (p<0.05); postoperative mortality rate significantly decreased to 3.5 vs 8.8 % respectively (p<0.05). CONCLUSION. AULI continued to remain the actuality in modern vascular surgery.https://www.vestnik-grekova.ru/jour/article/view/1171acute upper limb ischemiaarterial embolismarterial thrombosisarteries of the upper limbsurgical treatment |
| spellingShingle | M. V. Mel'nikov A. V. Sotnikov P. A. Susla G. G. Papava Acute upper limb ischemia: 30 years’ experience Вестник хирургии имени И.И. Грекова acute upper limb ischemia arterial embolism arterial thrombosis arteries of the upper limb surgical treatment |
| title | Acute upper limb ischemia: 30 years’ experience |
| title_full | Acute upper limb ischemia: 30 years’ experience |
| title_fullStr | Acute upper limb ischemia: 30 years’ experience |
| title_full_unstemmed | Acute upper limb ischemia: 30 years’ experience |
| title_short | Acute upper limb ischemia: 30 years’ experience |
| title_sort | acute upper limb ischemia 30 years experience |
| topic | acute upper limb ischemia arterial embolism arterial thrombosis arteries of the upper limb surgical treatment |
| url | https://www.vestnik-grekova.ru/jour/article/view/1171 |
| work_keys_str_mv | AT mvmelnikov acuteupperlimbischemia30yearsexperience AT avsotnikov acuteupperlimbischemia30yearsexperience AT pasusla acuteupperlimbischemia30yearsexperience AT ggpapava acuteupperlimbischemia30yearsexperience |