Complications - Transfemoral Fogarty balloon catheter embolectomy in embolic occlusion of the left external iliac artery—Vascular Surgery - vascular surgery
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Intraoperative complications
Intimal tears and dissections, vascular perforation
- Cause: typically overly aggressive handling during the arterial embolectomy manuever with the Fogarty catheter
- Clinical picture: persistent ischemia
- Mandatory: intraoperative angiography to check the circulation after embolectomy maneuvers
- Persistent residual stenoses indicate the need for repeat thromboembolectomy, endovascular dilation, or treatment of vascular lesions (e.g., stenting in dissection of the iliac artery)
- Prevention: Perform Fogarty maneuvers delicately and with feeling
Postoperative complications
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