Outcome of surgical treatment in acute XXXX .

@entity1 @entity5032 @entity3140 @entity887 @entity158 @entity715
During a 26 years' period, 547 thromboembolectomies were undertaken for acute limb ischaemia. The portion of @entity3140 was 17.7% (97/547). The annual incidence of surgically treated acute @entity3140 was 1.3 cases/100,000/year during the last 15 years of study period. There were 91 @entity1 , 45 males and 46 females, ranging from 17 to 92 years with a median age of 73 years. Pulselessness (96), @entity5032 (94), @entity158 (85), paraesthesia (45) and dysfunction (45) of the affected limb were the main symptoms. The right upper limb was more often affected (59/38, P < 0.05). An embolus originating from the heart was the reason for the ischaemia in 71 cases, while in 11 cases the occlusion was caused by a local @entity715 . In 15 cases the origin of the embolus remained unsolved. In five cases an additional arterial reconstruction was needed to restore the circulation. Reembolectomy of the same limb was needed in five cases, and additionally in two @entity1 , a third embolectomy was unavoidable. A secondary humeral amputation was necessary for one @entity1 . Eleven @entity1 (11.3%) died within 30 days and of these nine did so from recurrent @entity887 . The mortality was not related to the duration of the ischaemia, but rather to @entity1 ' general condition. During a mean follow-up time of 50 weeks a good functional result was achieved in 78 cases (80.4%). The clinical results in ischaemia caused by @entity887 are markedly better than those of local @entity715 (P < 0.001).
