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