Colt, James D.; Lee, Paul Y.
April 1972
Angiology;Apr1972, Vol. 23 Issue 4, p205
Academic Journal
1. A series of 134 consecutive above-the-knee amputations has been reviewed and the data subjected to statistical analysis as to the factor affecting the mortality. 2. The above-the-knee amputation for arteriosclerotic gangrene carries a high mortality and the leading causes of death in our series are pulmonary embolism and sepsis. 3. Age 75 years plus male sex, cardiac disease and obstruction of the profunda femoris artery carries highest mortality. 4. All patients with arteriosclerotic gangrene should have vascular diagnostic work-up and arteriography. 5. Arterial reconstruction should be the procedure of choice. 6. Profunda patency should be assured before any decision of amputation. 7. Arterial reconstruction does not increase the overall mortality and the salvage rate is gratifyingly high.


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