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Table 1 Information of the three patients

From: Endovascular treatment of aortic saddle embolism through percutaneous mechanical Thrombectomy via Straub Rotarex catheter

 

Case #1

Case #2

Case #3

Gender

Male

Female

Male

Age (years old)

61

28

76

ASE suffering time (h)

10

96

72

Classification for acute limb ischemia

Class IIb

Class IIb

Class III

Complications

 Coronary heart disease

No

No

Yes

 Hypertension

Yes

No

No

 Atrial fibrillation

No

No

No

 Other complications

Hyperkalemia, chronic bronchitis

No

Rheumatic heart disease, hematuria, hyperkalemia

 Preoperative high TnT

Yes

No

Yes

 Preoperative high myocardial enzyme

Yes

No

Yes

 Preoperative ultrasonography

Blood flow at the proximal iliac artery was blocked.

Blood flow at the proximal iliac artery was blocked.

Blood flow at the proximal iliac artery was blocked.

 Preoperative CT

Diagnosed as ASE

Not done

Diagnosed as ASE

 Surgical anesthesia method

Local anesthesia

General anesthesia

General anesthesia

 PMT treatment method

Unilateral puncture, crossover operation

Bilateral puncture

Bilateral puncture

 Location of thrombus

Thrombus of lower abdominal aorta and double iliac arteries

Thrombus of lower abdominal aorta and double iliac arteries, and left popliteal artery thrombus

Thrombus of lower abdominal aorta and double iliac arteries, and right iliac artery stenosis

 Combined with other endovascular treatment methods

Indwelling catheter for thrombolysis in abdominal aorta and right iliac artery

Left popliteal artery stent

Right common iliac artery stent

 Intravenous indwelling of the sheath for recovery of venous blood

No

Indwelling for double femoral veins

Indwelling for double femoral veins

 Volume of recovered venous blood (ml)

0

600

600

 Postoperative hemofiltration

No

Yes

No

 Postoperative outcome

Dead

Cured and discharged

Dead

 Angiogram after PMT treatment

The thrombus disappeared, and blood supply of limbs was improved apparently.

The thrombus disappeared, and blood supply of limbs was improved apparently.

Thrombus locally attached to the wall of abdominal aorta was considered, and blood supply of limbs was improved apparently

 Amputation/death

Died early after the operation

No

Died early after the operation

 Osteofascial compartment syndrome

No

No

No

 Occurrence of cardiopulmonary arrest

Postoperative 120 min

No

Postoperative 20 min

 Time of death

4 h after surgery

/

6 h after surgery

  1. Note: 1. ASE aortic saddle embolism; 2. for Case #3, families of the patient refused amputation treatment