Analysis of Risk Factors for Amputation in 822 Cases with Acute Arterial Emboli
Aside from a ruptured aneurysm or an acute myocardial infarction, acute arterial occlusion is one of the most pressing of the nontraumatic situations facing the physician. Administration of sodium bicarbonate, papaverine, and heparin will often provide the extra few hours needed to get the patient into the hands of a vascular surgeon for surgical removal of the occlusion. Occasionally, one finds a candidate for the use of streptokinase. Regardless of the mode of therapy chosen, post-treatment angiograms are very important, for they often elucidate atherosclerotic lesions amenable to elective reconstructive surgery.