Meng XH, Xie XP, Liu YC, Huang CP, Wang LJ, Liu HY, Fang X, Zhang GH. Observation of the effect of angiojet to treat acute lower extremity arterial embolization. World J Clin Cases 2023; 11(15): 3491-3501 [PMID: 37383913 DOI: 10.12998/wjcc.v11.i15.3491]
Corresponding Author of This Article
Guo-Hui Zhang, MBChB, Nurse, Department of General Surgery, The Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, No. 469 Shenban Road, Hangzhou 310022, Zhejiang Province, China. 1018885878@qq.com
Research Domain of This Article
Surgery
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Clin Cases. May 26, 2023; 11(15): 3491-3501 Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3491
Table 1 Basic data of enrolled patients (n, %, mean ± SD)
Groups
Gender (male)
Gender (female)
Age (yr)
BMI
Pre-operation ABI
Course of disease (h)
Enrolled patients (n = 62)
38 (61%)
24 (39%)
55-83 (69.52 ± 7.45)
18.10-24.62 (21.87 ± 1.91)
0.21-0.46 (0.33 ± 0.06)
2.67-64.17 (13.22 ± 10.85)
Table 2 Comparison of age, pre-operation, body mass index and course of disease between the two groups (n, mean ± SD)
Groups
Age (yr)
Pre-operation ABI
BMI
Course of disease (h)
Control group (n = 34)
57-81 (69.94 ± 7.66)
0.21-0.46 (0.34 ± 0.06)
18.10-24.59 (21.79 ± 1.97)
2.70-63.93 (13.25 ± 10.87)
Observation group (n = 28)
55-83 (69.00 ± 7.29)
0.21-0.46 (0.33 ± 0.05)
18.19-24.62 (21.97 ± 1.88)
2.65-64.12 (13.21 ± 10.84)
t value
0.059
0.538
0.381
0.015
P value
0.956
0.592
0.705
0.989
Table 3 Comparison of gender difference between the two groups, n (%)
Groups
Control group (n = 34)
Observation group (n = 28)
χ2 value
P value
Gender (male)
21 (62)
17 (61)
0.007
0.932
Gender (female)
13 (38)
11 (39)
Table 4 Comparison of efficacy between the two groups, n (%)
Groups
Recovery
Good
Fair
Poor
Amputa-tion/death
Total effective rate
Control group (n = 34)
18 (52.94)
10 (29.41)
5 (14.71)
1 (2.94)
0 (0)
33 (97.06)
Observation group (n = 28)
16 (57.14)
8 (28.57)
4 (14.29)
0 (0.00)
0 (0)
28 (100.00)
χ2 value
0.837
P value
0.360
Table 5 Comparison of surgical indicators between the two groups (n, mean ± SD)
Group
Pain score (point)
ABI difference before and after operation
Operation time (h)
Time to get out of bed (h)
Hospital stay (d)
Control group (n = 34)
3.97 ± 0.94
0.59 ± 0.13
3.51 ± 0.45
25.18 ± 1.77
8.04 ± 0.75
Observation group (n = 28)
1.71 ± 0.71
0.56 ± 0.11
2.53 ± 0.32
16.32 ± 2.48
5.80 ± 0.98
t value
10.480
0.739
9.579
16.390
10.150
P value
0.000
0.463
0.000
0.000
0.000
Table 6 Comparison of postoperative complication rates and recurrence rates between the two groups, n (%)
Groups
Ischemia reperfusion injury syndrome (case)
Infection of puncture site/incise-on (case)
Bleeding at puncture site/incise-on (case)
Puncture site/incise-on hematoma (case)
Lymphatic leakage (case)
Recurrence (case)
Distal embolism (case)
Hemoglob-inuria (cases)
Patients with complications (cases)
Control group (n = 34)
23 (0.68)
2 (0.06)
4 (0.12)
3 (0.09)
3 (0.09)
4 (0.12)
2 (0.06)
0 (0)
24 (0.71)
Observation group (n = 28)
10 (0.36)
0 (0)
0 (0)
0 (0)
0 (0)
3 (0.11)
4 (0.14)
3 (0.11)
10 (0.36)
χ2 value
6.289
1.702
3.521
2.596
2.596
0.017
1.240
3.828
7.540
P value
0.012
0.192
0.061
0.107
0.107
0.897
0.265
0.050
0.006
Table 7 Comparison of deaths between the two groups, n (%)
Group
Death
Control group (n = 34)
1 (2.90)
Observation group (n = 28)
1 (3.60)
χ2 value
0.020
P value
0.889
Table 8 Comparison of survival between two groups (n, mean ± SD)
Group
Survival time (wk)
Control group (n = 34)
77.32 ± 2.06
Observation group (n = 28)
76.57 ± 2.06
t value
1.432
P value
0.158
Citation: Meng XH, Xie XP, Liu YC, Huang CP, Wang LJ, Liu HY, Fang X, Zhang GH. Observation of the effect of angiojet to treat acute lower extremity arterial embolization. World J Clin Cases 2023; 11(15): 3491-3501