tx of acute arterial embolus
In the case of a confirmed acute arterial embolus, what's the first thing to do? Give heparin or embolectomy?
tx of AAE
As the cause of the AAE vary by age
as in young dt underlying cardiac condition (e.g M.S with A.F OR LF atrial thrombus on top of myxoma)
or in OLD pt. dt diseased atherosclerotic vessel that is complicated by overlying thrombus ........
Any of Both -->shower of emboli that lead to the condition
Though emergency tx by Embolesctomy with Fogarty (within 6 hrs) and as long as a viable limb, PREOPERATIVE preparation necessiates use of Heparin to control underlying thrombotic event that showers the emboli and prevent progression of an existing thrombus
also should include morphia --> pain control
, fluids if dehydration is a risk factor , and care about cardiac condition (e.g digoxin 4 rapid A.F)
THEN Heparin to be continued postoperatively till assessing need 4 further anticoagulant regimen