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العنوان
Predictive Factors for Post-revascularization Compartment Syndrome in Acute Lower Limb Ischemia /
المؤلف
Shabana, Mohamed Mohamed Abd El-Lateef,
هيئة الاعداد
باحث / محمد محمد عبد اللطيف شبانه
مشرف / سمير محمد عطية
مشرف / عبدالسلام فتحي مجاهد
مشرف / محمد شكري عبدالجواد
مناقش / مسعد عبدالحميد سليمان
مناقش / أيمن عبدالحميد سالم
الموضوع
Vascular Surgery.
تاريخ النشر
2023.
عدد الصفحات
114 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2023
مكان الإجازة
جامعة المنصورة - كلية الطب - Vascular Surgery Department
الفهرس
Only 14 pages are availabe for public view

from 114

from 114

Abstract

Background: Following revascularization treatments for acute limb ischemia, post-ischemic compartment syndrome (CS), a surgical emergency brought on by elevated intracompartmental pressure (ICP) in a lower extremity, develops (ALI). The muscles in the extremities may become edematous during surgical revascularization, such as embolectomy or artery bypass, as a result of fluid extravasation or inflammatory reactions following an ischemia-reperfusion (I/R) insult, leading to a fast rise in ICP. Objectives: in patients with non-traumatic acute ischemia of the lower extremities, to evaluate the risk variables for post-revascularization compartment syndrome. Methods: The 50 patients for the current study were chosen at random from the emergency hospital at Mansoura University’s vascular surgery department. This study included all adult patients aged >18 years with non-traumatic acute limb ischemia with viable limbs (Rutherford classification I, IIA and IIB). Patients who had severe vascular damage or irreversible limb ischemia were excluded from the trial, and those who were unable to agree to interventional procedures could not receive revascularization operations. Results: according to the regression analysis, the paresis, Rutherford classification IIB and intraoperative inadequate backflow were the most significant predictors of the CS in the current study (P < 0.001). Atrial fibrillation, emboli, thrombosis, Rutherford classification IIA, ischemic time (hours) and positive fluid balance in the first 24h were significant predictors of CS in the current study. Conclusion: limb compartment syndrome occurs when raised ICP causes tissue ischemia. It is a potentially limb-threatening and life-threatening problem after revascularization of the acute ischemic limbs. A high index of clinical suspicion is required to diagnose this pathologic process. For early detection, it is necessary to educate those taking care of patients at risk, especially in the early symptoms and signs. In the current study.