Page 59 - Virtual Vascular Vol 14
P. 59
Femoral Embolectomy for Acute Lower Limb Ischemia
3. Operation Outline
(continued)
c. Transverse arteriotomy
made at CFA; dark red clot
already apparent
Typical presentation of
acute limb ischemia: d. Embolectomy with fogarty
Acute onset of lower limb catheter
Pain, Paraesthesia, Pallor,
Pulseless, Paralysis and
Perishing cold.
1. Clinical Diagnosis of acute left lower limb ischemia made by 6 x ‘P’s
2. Initial Management:
IV heparin bolus (5000 units or according to body weight)
Prepare for emergency operation (femoral embolectomy) e. Arteriotomy closure with
sutures
Vascular sling around Common
Femoral Artery
3. Operation Outline
a. Groin incision
b. Proximal and distal
control of vessels (CFA,
SFA, PFA)
Retrieved clot
Profunda Femoris Artery
Superficial Femoral Artery 59
