Limb threatening ischaemia

Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink?

The Society of Vascular Surgery and the International Society of Cardiovascular Surgery identify three types of acute limb ischaemia to inform prognosis and management. Type 1 limb ischaemia is non-limb-threatening and is currently managed conservatively. We describe three cases of Type 1 limb ischaemia with femoropopliteal occlusion that were managed differently. The first case was initially m...

Critical limb ischaemia.

Critical limb ischaemia (CLI) is a manifestation of peripheral arterial disease (PAD) that describes patients with chronic ischaemic rest pain, or patients with ischaemic skin lesions, either ulcers or gangrene. The clinical diagnosis of CLI should be confirmed by haemodynamic parameters such as the ankle- or toe systolic pressure. The estimated annual incidence of CLI ranges between 500 and 1 ...

Managing acute limb ischaemia.

Acute ischaemia complicating limb trauma.

DeBakey and Simeone (1946) found that 686 per cent of amputations among United States troops in the second world war were done as the result of arterial trauma. Amputation was required in 4O 3 per cent of cases of arterial trauma. Arterial injuries associated with fractures showed a 50 per cent loss of limb with reparative measures, whereas there was a 70 per cent loss of limb when the vessel w...

Angioplasty in critical limb ischaemia: one-year limb salvage results.

INTRODUCTION Lower extremity amputation prevention (LEAP) is an ongoing programme in our institution aimed at limb salvage in patients with critical limb ischaemia (CLI). Patients in the LEAP programme with reconstructible anatomy on initial Doppler imaging received either bypass surgery or percutaneous transluminal balloon angioplasty (PTA). We describe the 1-year limb salvage rates in 46 cons...