Key result
Acute limb ischemia developed postoperatively in 10.3% of patients undergoing elective aortic reconstruction, primarily due to technical errors, and was associated with increased mortality.
Cohort (n=262)
Postoperative acute limb ischemia following elective aortic reconstruction occurs in approximately 10% of cases, is largely driven by technical errors, and significantly increases mortality.
Technical errors in aortic reconstruction merit intraoperative vigilance; observational data leaves open whether mitigation reduces mortality.
Acute limb ischemia following aortic reconstruction is primarily related to intraoperative technical errors and is associated with significantly increased mortality. Elective aortic reconstruction was performed on 262 patients between 1975 and 1981. Surgical indications were aneurysm in 84 patients (32%), occlusive disease in 125 (48%), and both of these in 53 (20%). Acute limb ischemia developed postoperatively in 27 patients (10.3%); it was noted at the conclusion of the operation in five (19%) of them and within the first 48 hours in 22 (81%). The mortality was greater in the combined aneurysm and occlusive disease group than in the aneurysm-only and occlusive disease-only groups, primarily because of an increased incidence of myocardial disease in the combined group. Postoperative limb ischemia was mainly a result of technical error and resulted in increased mortality in all groups.
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John A. Strom (1984) conducted a cohort in Elective aortic reconstruction (n=262). Elective aortic reconstruction was evaluated on Acute limb ischemia postoperatively. Acute limb ischemia developed postoperatively in 10.3% of patients undergoing elective aortic reconstruction, primarily due to technical errors, and was associated with increased mortality.
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