Peripheral vascular thrombo-embolism and the role of various fogarty arterial thrombo-embolectomy catheters: A comparative prospective study and its result

Introduction: Acute embolism and thrombosis are the commonest cause of peripheral vascular occlusion. Acute ischemic rest pain is the common mode of presentation in an emergency department. Majority of vascular thromboembolism are presented in late stage. Usage of Fogarty arterial embolectomy catheter results in incomplete thromboembolectomy and the poor chance of revascularization. It leads to a greater chance of amputation and mortality. Usage of Fogarty adherent clot catheter with Fogarty arterial embolectomy catheter has an advantage. It does not only improve the rate of better revascularization but also salvage the limbs and reduces the mortality.

Materials and methods: It is randomized prospective study, includes 200 patients from December 2015 to January 2018. 100 patients each in group A and group B. Fogarty arterial embolectomy catheter used alone in Group A and Fogarty arterial embolectomy catheter with Fogarty adherent clot catheter used in Group B.

Results: It is proven that usage of Fogarty adherent clot catheter along with Fogarty arterial embolectomy catheter in thromboembolectomy, results in better peripheral limb revascularization.

Conclusion: Regardless of the time of the presentation, use of Fogarty adherent clot catheter with Fogarty arterial embolectomy catheter has the better outcome.