Arterial Embolism: Modern Concepts

The management of arterial embolism has passed through 3 phases since the first successful embolectomy was performed by Labey in 1911.3The earliest phase, lasting until about 1935, was characterized by isolated successes from embolectomy done soon after the episode in patients with peripheral embolism, but the salvage of limb and life was low. Successful aortic embolectomy or embolectomy for late embolism was not reported. In the second phase, lasting from 1935 to 1950, newer methods of support of the patient, through operation and the growing recognition by the medical profession that patients with embolism should be referred early for operative treatment, bore fruit. Limb salvage was increased to 85%, aortic embolectomy was successfully accomplished in several instances, and it became understood that "lateness" was not a contraindication to the operation provided the fate of the limb was not already settled.4The mortality from the associated heart disease