There is vast literature on the topic of ischemia-reperfusion injury. A summative discussion of the complex pathogenicity will aid practicing physicians in diagnosis and management. We offer a review of this literature as well as a discussion on a rare case of tense edematous bullae as a presentation of ischemia-reperfusion injury. A 65-year-old male underwent a right femoropopliteal bypass for rest pain that had not improved after iliac stent placement. He presented three days after discharge with blistering lesions on the reperfused limb that resembled bullous pemphigoid. This case describes the variability in the presentation of reperfusion injury, as well as the necessity to educate those managing atypical presentations of reperfusion injury.
Highlights
Single center, retrospective review. Regional anesthesia is associated with improved distal access configuration with acceptable patency rates when compared with local anesthesia. The use of regional anesthesia allows for improved likelihood of achieving the most distal access possible based on preoperative ultrasound testing and could potentially change from a planned arterial-venous graft to an autogenous creation.
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