Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Aortic Saddle Embolectomy

Aortic Saddle Embolectomy Abstract EMBOLIZATION to the aortic bifurcation accounts for 10% to 25% of all arterial emboli and has been associated with an operative mortality which approaches 75% and a limb salvage of approximately 15%.1-3 Only 27 successful aortic bifurcation embolectomies had been reported prior to 1951.4 The dramatic improvement in operative results in the past 15 years is attributable to significant improvements in vascular surgical techniques and to earlier diagnosis and operative intervention. Although the first arterial embolectomy was attempted in 1895 by Ssabenejeff,5 the first successful embolectomy was performed in 1911 by Labey.6 The first successful aortic bifurcation embolectomies were performed in 1912-1913 by Bauer7 and Key.8 These early surgeons noted the frequency of thrombus formation and propagation distal to the embolic obstruction and realized the desirability of a vascular surgical technique allowing complete extraction of the embolus and associated thrombus. This led to the References 1. Warren, R.; Linton, R.R.; and Scannell, J.G.: Arterial Embolism: Recent Progress , Ann Surg 140:311, 1954.Crossref 2. Haimovici, H.: Peripheral Arterial Embolism: Study of 330 Unselected Cases of Embolism of the Extremities , Angiology 1:20, 1950.Crossref 3. Deterling, R.A., Jr.; Vargas, L.L.; and McAllister, F.F.: Follow Up Studies of Patients With Embolic Occlusion of the Aortic Bifurcation , Ann Surg 155:383, 1962.Crossref 4. Taylor, F.W.: Saddle Embolus of the Aorta , Arch Surg 62:38, 1951.Crossref 5. Key: On Question of Blood Vessel Suture , Russki Khir Arch 11:625, 1895. 6. Mosny, M., and Dumont, M.J.: Embolic Fèmorale au cours d'un Retrecissement Mitral pur: Arteriotomie, Geurison , Bull Acad Med Paris 66:358, 1911. 7. Bauer, F.: Fall von Embolus Aortae Abdominalis Heiling , Zbl Chir 40:1945, 1913. 8. Key, E.: Embolectomy in the Treatment of Circulatory Disturbances in the Extremities , Surg Gynec Obstet 36:309, 1923. 9. Shaw, R.S.: A Method for the Removal of Adherent Distal Thrombus , Surg Gynec Obstet 110: 255, 1960. 10. Crawford, E.S., and DeBakey, M.E.: The Retrograde Flush Procedure in Embolectomy and Thrombectomy , Surg 40:737, 1956. 11. Handley, W.S.: An Operation for Embolus , Brit Med J 2:712, 1907.Crossref 12. Andrews, E., and Harkins, H.: Embolectomy: Report of a Case Involving the Femoral Artery , Ann Surg 96:40, 1932.Crossref 13. Fogarty, T.J., et al: A Method for Extraction of Arterial Emboli and Thrombi , Surg Gynec Obstet 116:241, 1963. 14. Fogarty, T.J., and Cranley, J.J.: Catheter Technique for Arterial Embolectomy , Ann Surg 161: 325, 1965.Crossref 15. Fogarty, T.J., and Krippaehne, W.W.: Catheter Technique for Venous Thrombectomy , Surg Gynec Obstet 121:362, 1965. 16. Denman, F.R., and Hanson, H.H.: Aortic Embolectomy Following Mitral Commissurotomy , Surgery 39:985, 1956. 17. Bloomberg, E.A.; Blumberg, P.; and Haimovici, H.: Auricular Thrombosis, Mitral Commissurotomy, and Aortic Embolectomy , JAMA 150: 1216, 1952.Crossref 18. Andrus, W.: Peripheral Arterial Embolism With Particular Reference of Evaluation of Conservative Treatment , Arch Surg 60:511, 1950.Crossref 19. Albright, H.L., and Leonard, F.C.: Embolectomy From the Abdominal Aorta , New Eng J Med 242:271, 1950.Crossref 20. Spencer, F.C., and Eiseman, B.: Delayed Arterial Embolectomy: A New Concept , Surgery 55: 64, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Loading next page...
 
/lp/american-medical-association/aortic-saddle-embolectomy-Y07n0nk9tg
Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01330020152026
Publisher site
See Article on Publisher Site

Abstract

Abstract EMBOLIZATION to the aortic bifurcation accounts for 10% to 25% of all arterial emboli and has been associated with an operative mortality which approaches 75% and a limb salvage of approximately 15%.1-3 Only 27 successful aortic bifurcation embolectomies had been reported prior to 1951.4 The dramatic improvement in operative results in the past 15 years is attributable to significant improvements in vascular surgical techniques and to earlier diagnosis and operative intervention. Although the first arterial embolectomy was attempted in 1895 by Ssabenejeff,5 the first successful embolectomy was performed in 1911 by Labey.6 The first successful aortic bifurcation embolectomies were performed in 1912-1913 by Bauer7 and Key.8 These early surgeons noted the frequency of thrombus formation and propagation distal to the embolic obstruction and realized the desirability of a vascular surgical technique allowing complete extraction of the embolus and associated thrombus. This led to the References 1. Warren, R.; Linton, R.R.; and Scannell, J.G.: Arterial Embolism: Recent Progress , Ann Surg 140:311, 1954.Crossref 2. Haimovici, H.: Peripheral Arterial Embolism: Study of 330 Unselected Cases of Embolism of the Extremities , Angiology 1:20, 1950.Crossref 3. Deterling, R.A., Jr.; Vargas, L.L.; and McAllister, F.F.: Follow Up Studies of Patients With Embolic Occlusion of the Aortic Bifurcation , Ann Surg 155:383, 1962.Crossref 4. Taylor, F.W.: Saddle Embolus of the Aorta , Arch Surg 62:38, 1951.Crossref 5. Key: On Question of Blood Vessel Suture , Russki Khir Arch 11:625, 1895. 6. Mosny, M., and Dumont, M.J.: Embolic Fèmorale au cours d'un Retrecissement Mitral pur: Arteriotomie, Geurison , Bull Acad Med Paris 66:358, 1911. 7. Bauer, F.: Fall von Embolus Aortae Abdominalis Heiling , Zbl Chir 40:1945, 1913. 8. Key, E.: Embolectomy in the Treatment of Circulatory Disturbances in the Extremities , Surg Gynec Obstet 36:309, 1923. 9. Shaw, R.S.: A Method for the Removal of Adherent Distal Thrombus , Surg Gynec Obstet 110: 255, 1960. 10. Crawford, E.S., and DeBakey, M.E.: The Retrograde Flush Procedure in Embolectomy and Thrombectomy , Surg 40:737, 1956. 11. Handley, W.S.: An Operation for Embolus , Brit Med J 2:712, 1907.Crossref 12. Andrews, E., and Harkins, H.: Embolectomy: Report of a Case Involving the Femoral Artery , Ann Surg 96:40, 1932.Crossref 13. Fogarty, T.J., et al: A Method for Extraction of Arterial Emboli and Thrombi , Surg Gynec Obstet 116:241, 1963. 14. Fogarty, T.J., and Cranley, J.J.: Catheter Technique for Arterial Embolectomy , Ann Surg 161: 325, 1965.Crossref 15. Fogarty, T.J., and Krippaehne, W.W.: Catheter Technique for Venous Thrombectomy , Surg Gynec Obstet 121:362, 1965. 16. Denman, F.R., and Hanson, H.H.: Aortic Embolectomy Following Mitral Commissurotomy , Surgery 39:985, 1956. 17. Bloomberg, E.A.; Blumberg, P.; and Haimovici, H.: Auricular Thrombosis, Mitral Commissurotomy, and Aortic Embolectomy , JAMA 150: 1216, 1952.Crossref 18. Andrus, W.: Peripheral Arterial Embolism With Particular Reference of Evaluation of Conservative Treatment , Arch Surg 60:511, 1950.Crossref 19. Albright, H.L., and Leonard, F.C.: Embolectomy From the Abdominal Aorta , New Eng J Med 242:271, 1950.Crossref 20. Spencer, F.C., and Eiseman, B.: Delayed Arterial Embolectomy: A New Concept , Surgery 55: 64, 1964.

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1966

References