1Vascular Unit Nepean Hospital
Acute limb ischemia is often associated with high morbidity and mortality. Dormandy et al. describe ALI with an incidence of 14 in 100000 and a 30-day amputation rate of 10-30 percent. With this presentation we aim to review the outcomes of Angiojet in the context of acute arterial occlusions. A minimally invasive option especially in the comorbid..
Material(s) and Method(s):
Retrospective review between 2018 and 2021 of patients that underwent Angiojet for arterial causes at Nepean Hospital. Collating the data with primary endpoints being technical success, reintervention, major amputation rate, complications and mortality.
We identified 70 procedures on 65 patients. Of the 65 patients 20 were female and 45 Male with a mean age of 64.5. There was technical success in 66 cases (94%), with complication rate of 10 percent of which 8.5% were in the form of reversible Acute kidney injury. The medial Length of stay was 7 with reintervention rate of 17% (n=12) in 6 months. The progression to a Major amputation sat at 12.8 percent. A total of 2 (2.8%) patients died from the cohort neither of which was directly related to the angiojet process.
Angiojet offers a minimally invasive surgery that can be considered in ALI. It presents an endovascular solution not only for thrombolysis but also an opportunity to address and rectify the offending lesion with an acceptable patency rate and short LOS.