Acute Limb Ischemia

McNally, Michael M.; Univers, Junior

doi:10.1016/j.suc.2018.05.002

Cited by 54 publications

(37 citation statements)

References 36 publications

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“…Any sudden impairment of the arterial fl ow to the limb results in ischemia, causing a potential threat to limb viability. 2,9 Population aging increases the prevalence of acute lower limb ischemia. The main etiological factors of acute lower limb ischemia are arterial embolism and thrombosis of an atherosclerotic artery or a bypass graft.…”

Section: Discussionmentioning

confidence: 99%

“…1 Embolism and thrombosis are considered as the most common causes of acute limb ischemia. 2 According to literature, acute lower limb ischemia can be caused by vascular injury, aortic dissection, severe pancreatitis, peritonitis, intestinal obstruction, abdominal compartment syndrome, as well as dehydration. [3][4][5][6] Besides, acute limb ischemia may develop as a manifestation of multiple comorbidities.…”

Section: Introductionmentioning

confidence: 99%

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Acute lower limb ischemia secondary to diffuse peritonitis

Berek¹,

Kopolovets²,

Sihotský³

2020

Cor Vasa

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Akútna ischémia dolných končatín je väčšinou spôsobená embóliou, trombózou a traumatickými zraneniami. Samostatnú skupinu tvoria pacienti so sekundárnou akútnou ischémiou končatín k inému základnému ochoreniu. Prezentácia kazuistiky: V tomto článku popisujeme kazuistiku 72-ročnej ženy, ktorá bola hospitalizovaná na Klinike cievnej chirurgie s akútnou ischémiou dolnej končatíny. Podľa predchádzajúcej anamnézy jeden deň pred hospitalizáciou pacientka bola vyšetrená chirurgom pre bolesť brucha: bez príznakov peritonitídy. Bola realizovaná ultrazvuková diagnostika brucha, kde sa nevyskytol žiaden akútny nález; podľa laboratorných testov boli zvýšené leukocyty na 18,2 × 10 9 /I. Nasledujúci deň pacientku doniesli na konzultáciu k cievnému chirurgovi kvôli bolesti a necitlivosti pravej dolnej končatiny. Vzhľadom na bolesť brucha a zvýšený počet leukocytov bola vykonaná v urgentnom režime CT angiografi a, na základe ktorej bolo diagnostikované pneumoperitoneum a akútny uzáver artérií pravej dolnej končatiny. Vykonaná simultanná emergentná operácia: trombektómia tepien dolných končatín a laparotómia, kde bola diagnostikovaná perforácia pylorusa, difúzna peritonitída. Bohužiaľ pacientka zomrela v dôsledku hemodynamického zhoršenia a rozvoja polyorganného zlyhania na základe septického šoku. Záver: Táto kazuistika predstavuje vývoj akútnej ischémie pravej dolnej končatiny ako komplikácie difúznej peritonitídy. Septický šok spôsobil dehydratáciu pacientky, zhoršenie hemokoagulačných parametrov a rozvoj sekundárnej trombózy artérií pravej dolnej končatiny.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute lower limb ischemia secondary to diffuse peritonitis

Berek¹,

Kopolovets²,

Sihotský³

2020

Cor Vasa

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“…Post-replantation follow-up is as important as the replantation process [2]. Metabolites in long-term ischemic tissue enter the venous system after replantation, which can lead to additional problems on a scale that can cause hyperkalemia, myoglobinuria, acute renal failure, and death [3][4][5]. For this reason, deciding on replantation and following a replanted patient is as difficult a process as the procedure itself [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Failure of Major Upper Extremity Replantation Due to COVID-19-Related Arterial Thrombosis

Günay¹,

Çavuş²,

Okur³

et al. 2021

Cureus

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“…Acute limb ischemia (ALI) is a critical clinical condition which seen in patients with multiple medical co morbidity 1 . This clinical picture threatens not only the extremity and its viability but also survival of the patient due to patient's systemic acid-base, electrolyte and other abnormalities 2 .In order to provide the most appropriate benefit to the extremity, the importance of the first eight hours from the realization of the thromboembolic event is known. The rate of amputation is 8-15% and mortality rate is between 12-15% in patients who are operated despite early diagnosis and treatment 3 .…”

Section: Introductionmentioning

confidence: 99%

The Effects Of Red Blood Cell Distribution Width and Mean Platelet Volume on Prognosis in Acute Lower Extremity Ischemia

Durmaz¹

2020

jamp

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Acute lower extremity ischemia is an emergent situation with high rates of morbidity and mortality. In our study, we plan to investigate the effects of easily accessible and prognostic inflammatory markers for the prevention of complications and mortality in this clinical presentation in which early diagnosis and good management have great importance. Patients who underwent embolectomy between January 2010 and May 2018 were included in the study. The patients were divided into two groups with and without amputation. The patient's demographic, clinical features, diagnosis and treatment methods were recorded. In addition, RDW, MPV values and ABI indices in the time of admission to the hospital were recorded and compared statistically. A total of 198 patients were included in the study. 156 (78.78%) of patients had no amputation and 42 patients (21.22%) had amputation in the study. RDW values of patients with amputation were found to be 15.72 ± 3.12, and RDW values of patients without amputation were found to be 14.81 ± 2.33 (p = 0.04). When the MPV values of the patients who underwent amputation were examined, 9.74 ± 1.2 was observed and 10.15 ± 1.23 were found in patients without amputation (p = 0.04). The preoperative ankle-brachial indexes of the patients in both groups were 0.51 ± 0.17 and 0.61 ± 0.12, respectively. RDW and MPV are important inflammatory markers in predicting prognosis in acute lower extremity ischemia.

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Acute Limb Ischemia

Cited by 54 publications

References 36 publications

Acute lower limb ischemia secondary to diffuse peritonitis

Acute lower limb ischemia secondary to diffuse peritonitis

Failure of Major Upper Extremity Replantation Due to COVID-19-Related Arterial Thrombosis

The Effects Of Red Blood Cell Distribution Width and Mean Platelet Volume on Prognosis in Acute Lower Extremity Ischemia

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