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. 1984 Mar;199(3):367–371. doi: 10.1097/00000658-198403000-00020

Thromboembolectomy of arteries explored at the ankle.

J R Youkey, G P Clagett, S Cabellon Jr, W L Eddleman, J M Salander, N M Rich
PMCID: PMC1353407  PMID: 6703798

Abstract

Experience with 11 cases of thromboembolectomy of leg arteries explored at the ankle is presented. Patency was established in 19 of 23 arteries (83%), resulting in salvage of 11 of 14 limbs (79%). This experience documents success of this technique with follow-up ranging from 2 to 70 months (mean followup, 24.7 months). Current indications for the procedure include 1) incomplete extraction of thrombus via the popliteal trifurcation, 2) incomplete transfemoral extraction of thrombus with restoration of a popliteal pulse, and 3) thromboembolus initially confined to the infrapopliteal arteries.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abbott W. M., Maloney R. D., McCabe C. C., Lee C. E., Wirthlin L. S. Arterial embolism: a 44 year perspective. Am J Surg. 1982 Apr;143(4):460–464. doi: 10.1016/0002-9610(82)90196-9. [DOI] [PubMed] [Google Scholar]
  2. Blaisdell F. W., Steele M., Allen R. E. Management of acute lower extremity arterial ischemia due to embolism and thrombosis. Surgery. 1978 Dec;84(6):822–834. [PubMed] [Google Scholar]
  3. Calhoun T. R. Distal thromboembolectomy: a useful procedure. Tex Med. 1981 Apr;77(4):52–52. [PubMed] [Google Scholar]
  4. Caruana J. A., Jr, Gutierrez I. Z., Andersen M. N., Gage A. A. Factors that affect the outcome of peripheral arterial embolization. Arch Surg. 1981 Apr;116(4):423–425. doi: 10.1001/archsurg.1981.01380160039008. [DOI] [PubMed] [Google Scholar]
  5. Elliott J. P., Jr, Hageman J. H., Szilagyi E., Ramakrishnan V., Bravo J. J., Smith R. F. Arterial embolization: problems of source, multiplicity, recurrence, and delayed treatment. Surgery. 1980 Dec;88(6):833–845. [PubMed] [Google Scholar]
  6. FOGARTY T. J., CRANLEY J. J., KRAUSE R. J., STRASSER E. S., HAFNER C. D. A method for extraction of arterial emboli and thrombi. Surg Gynecol Obstet. 1963 Feb;116:241–244. [PubMed] [Google Scholar]
  7. Fogarty T. J., Daily P. O., Shumway N. E., Krippaehne W. Experience with balloon catheter technic for arterial embolectomy. Am J Surg. 1971 Aug;122(2):231–237. doi: 10.1016/0002-9610(71)90323-0. [DOI] [PubMed] [Google Scholar]
  8. Green R. M., DeWeese J. A., Rob C. G. Arterial embolectomy before and after the Fogarty catheter. Surgery. 1975 Jan;77(1):24–33. [PubMed] [Google Scholar]
  9. Gregg R. O., Chamberlain B. E., Myers J. K., Tyler D. B. Embolectomy or heparin therapy for arterial emboli? Surgery. 1983 Mar;93(3):377–380. [PubMed] [Google Scholar]
  10. Gupta S. K., Samson R. H., Veith F. J. Embolectomy of the distal part of the popliteal artery. Surg Gynecol Obstet. 1981 Aug;153(2):254–256. [PubMed] [Google Scholar]
  11. Hight D. W., Tilney N., Couch N. P. Changing clinical trends in patients with peripheral arterial emboli. Surgery. 1976 Feb;79(02):172–176. [PubMed] [Google Scholar]
  12. Jarrett F., Dacumos G. C., Crummy A. B., Detmer D. E., Belzer F. O. Late appearance of arterial emboli: diagnosis and management. Surgery. 1979 Dec;86(6):898–905. [PubMed] [Google Scholar]
  13. Krause R. J., Cranley J. J., Strasser E. S., Hafner C. D., Fogarty T. J. Further experience with a new embolectomy catheter. Surgery. 1966 Jan;59(1):81–87. [PubMed] [Google Scholar]
  14. Levin B. H., Giordano J. M. Delayed arterial embolectomy. Surg Gynecol Obstet. 1982 Oct;155(4):549–551. [PubMed] [Google Scholar]
  15. McPhail N. V., Fratesi S. J., Barber G. G., Scobie T. K. Management of acute thromboembolic limb ischemia. Surgery. 1983 Mar;93(3):381–385. [PubMed] [Google Scholar]
  16. Short D., Vaughn G. D., 3rd, Jachimczyk J., Gallagher M. W., Garcia-Rinaldi R. The anatomic basis for the occasional failure of transfemoral balloon catheter thromboembolectomy. Ann Surg. 1979 Oct;190(4):555–556. doi: 10.1097/00000658-197910000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]

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