Open Access Textbook of General Surgery Acute Limb Ischaemia
نویسنده
چکیده
Acute ischemia of the limb represents one of the toughest challenges encountered by vascular specialists. The diagnosis and initial assessment are largely clinical, and diagnostic errors can result in a high price to the patient—amputation or even death. Amputation and death rates remain high despite intervention, which is in contrast to major advances in the treatment of many other vascular diseases. Acute ischemia is often an end-of-life condition that presents in a patient with multiple medical comorbidities. Therefore, careful clinical assessment of the individual is as important as assessment of the limb. Unlike many other vascular conditions, there is no one definitive treatment; a variety of modalities are available, including anticoagulation, operative intervention, thrombolysis, and mechanical thrombectomy. Selection of the most appropriate intervention or combination of interventions can be critical to the eventual outcome.
منابع مشابه
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...
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