Intimal tears and dissections, vascular perforation
- Cause: typically overly aggressive handling during the embolectomy manoeuvre with the Fogarty catheter
- Clinical picture: persistent ischaemia
- Mandatory: intraoperative angiography to check the circulation after the embolectomy manoeuvre
- 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 manoeuvres carefully and with feeling