Key result
Resection of an abdominal aortic aneurysm was associated with intraoperative or postoperative leg ischemia in 7% of consecutive survivors, primarily due to distal embolization.
Cohort (n=100)
Leg ischemia complicates approximately 7% of abdominal aortic aneurysm resections, primarily due to distal embolization, and early thromboembolectomy can avert tissue loss.
Resection of an abdominal aortic aneurysm was associated with intraoperative or postoperative leg ischemia in seven of 100 consecutive survivors of this procedure. Distal embolization of thrombus and debris is the apparent cause in the majority of cases (six). One case of stenosis at a graft-to-vessel anastomosis was identified. Early (intraoperative) thromboembolectomy averted tissue loss in four cases. The role of concurrent lumbar sympathectomy in ameliorating ischemic tissue loss is evaluated. Postaneurysmectomy leg ischemia may accompany other serious complications, particularly hypotension and renal failure.
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Tchirkow et al. (1978) conducted a cohort in Abdominal aortic aneurysm (n=100). Resection of an abdominal aortic aneurysm was evaluated on Intraoperative or postoperative leg ischemia. Resection of an abdominal aortic aneurysm was associated with intraoperative or postoperative leg ischemia in 7% of consecutive survivors, primarily due to distal embolization.
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