Transabdominal thrombectomy

Thrombosis of the main arteries of the extremities, except for some parts (such as the upper arm axillary arteries), which often have sufficient collateral circulation. After active non-surgical treatment, sufficient blood flow can be maintained without surgery; once confirmed in other parts Regardless of whether the collateral circulation of the diseased limb is sufficient, surgical removal should be considered to prevent the thrombus from extending to the distal and proximal ends, so that the diseased limb undergoes irreversible ischemic changes. Especially in the lower extremities, non-surgical treatment is often not effective. Even if gangrene does not occur on the diseased limb, it will cause long-term chronic ischemic changes and disability. Surgery should be performed as soon as possible, preferably within 6-8 hours of onset; however, it is not limited by this time. In some cases, the operation can still be successful after a few days of onset. When the gangrene is not apparent on the affected limb, and the blood in the distal vessel has not been coagulated, the operation is likely to succeed. Although the burden of the thrombectomy at the bifurcation of the abdominal aorta on the patient is heavy, if no active treatment is given, it will lead to death, so the operation is even more necessary. Except for patients who are already dying, they should try their best to get the surgery and not give up easily. The thrombus at the bifurcation of the abdominal aorta can be removed via the abdominal or femoral route. Either way may not be able to achieve satisfactory results alone, but often need to be used in combination, so you should prepare for both ways at the same time. The transabdominal route is generally used first; but for some patients with severe heart disease, the femoral artery can be removed first to remove the thrombus. If the thromboembolism cannot be lifted, the operation is performed by abdominal route.