Süleyman Demirel Üniversitesi Tıp Fakültesi , Kalp ve Damar Cerrahisi AD, Isparta

Currently, acute arterial occlusion (AAO) incidence become increased and mortalitiy and morbidity rate ofthis pathology remained very high. The aim of retrospective study is to invastigate the factors which contributes the mortality rates among the patients which were admitted to our clinic with AAO. Between January 2003-November 2005 at the our clinic, one &ndash; hundred - three patients who had surgical interventions with acute arterial occlusion of upper and lower extremities were evaluated retrospectively. There were 60 male ( %58.3) and 43 female (%41.7) and mean age of the patients age was 67,86 ± 12,09 (37 year and 95 year). Surgery was performed in 82 cases (%79.6) on lower extremity and in 21 cases (%20.4) on upper extremity. In our investigation only 82 patients ( %79.6) were operated with in 12 hours, the other 21 patients (%20.4) over 12 hours after after acute arterial occlusion. Localizations of the occlusion were femoropopliteal region in 76 cases (%73.7), brachial region in 21 cases (%20.3) and aortailiac region in 6 cases (%5.8), respectively. There were no re-embolectomy and extra vascular procedure performed in the patients which were operated for upper extremity problem. Re-embolectomy was performed on 17 (%20.7) of the patients which were operated for lower extremity problem for recurrence of the ischemic period. Extremity preservation rate was 92.2% (95 patients), mortality rate was 10.7% (11 patients). Mean age of the patients who occurred mortality was 73,63 ± 7,31 (62-87) and eight patients was over seventy age. Statistically, there were not found any meaningful difference between cases which ending with mortality or not mortality groups (p>0.05). rate was 92.2% (95 patients), mortality rate was 10.7% (11 patients). Mean age of the patients who occurred mortality was 73,63 ± 7,31 (62-87) and eight patients was over seventy age. Statistically, there were not found any meaningful difference between cases which ending with mortality or not mortality groups (p>0.05). Also statistically, there were not found any meaningful difference between cases which applying interference before 12 hours or after 12 hours ( p>0.05); but when they are comparised about amputation, there were found meaningful difference.(p<0.05). There is diagnosed coronary artery disease (CAD) on 10 cases (%90.9) and peripheral arterial disease (PAD) on 8 cases (%72.7) among the patients with mortality. And cases between ending with mortality or not, accompanying with coronary artery diseases, statistically serious meaningful difference determined(p<0.01) Acute arterial occlusion which is accompanied by coronary and peripheral arterial disease may result in high morbidity and mortality in clinical setting. Early intervention is beneficial in decreasing morbidity and mortality, therefore surgery must be performed as soon as possible in cases of AAO.