Acute limb ischemia secondary to external iliac and common femoral artery dissection in a body builder

Lu, Alexander K.; Baldwin, Jordynn; Hans, Sachinder Singh

doi:10.1016/j.jvscit.2023.101099

Cited by 1 publication

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References 8 publications

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“…There are many case studies of young, otherwise healthy athletes and bodybuilders who suffered heart attacks or strokes due to anabolic steroid abuse. In few studies, we can read about peripheral arterial embolism, [1][2][3] dissection [4,5] and acute superior sagittal sinus thrombosis. [6] Anabolic steroid abuse increases the serum level of low-density lipoproteins, decreases the serum level of highdensity lipoproteins, increases platelet aggregation, increases the synthesis of procoagulant factors, and suppression of fibrinolysis.…”

Section: Discussionmentioning

confidence: 99%

"Critical Lower Extremity Ischemia and Physical Vascular Therapy, Bemer®"

Hevér

2023

BJSTR

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Taking anabolic steroids is associated with many side effects, including hormonal effects, liver damage, blood pressure increase, concentric left ventricular hypertrophy, damage to fat metabolism, immune damage, skin symptoms and arterial thrombosis. In the presented case, the 46-year-old man used anabolic steroids as a cure for 10 years. When he was admitted to the hospital, he complained of pain in his left leg for three days, which was caused by blockage of the left iliac and popliteo-crural arteries. An embolectomy was performed, supplemented with a fasciotomy. Two days later, a CT angiography performed due to an increase in complaints showed a floating thrombus in the left common iliac artery and repeated occlusion of the leg vessels. The CT also showed damage to the liver, right kidney, intestines, and partial thrombosis of the superior mesenteric artery. Repeated lower extremity embolectomy did not yield definitive results. There was an increased chance of possible limb loss. The ischemia of the limb requiring opiate analgesia was compensated with vasodilator infusion treatment, as the source of the central embolism was not confirmed. The fasciotomy wound showed a tendency to heal with regular surgical control. Upon discharge of the patient, after detailed information, we prescribed medications, special nutrients, physical vascular therapy and weekly bandage changes at our specialist ambulance. Thanks to the patient's cooperation, it was possible to achieve complete recovery and return to his previous work. If the surgical thrombectomy is not successful, there is a possibility of limb loss due to critical limb ischemia, prostacyclin treatment is recommended even in the hospital. If the infusion proves to be effective, the limb can be saved by using physical vascular therapy (BEMER®) six times a day at the patient's home. In case of critical limb ischemia, BEMER® proves to be a good choice and is recommended.

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Section: Discussionmentioning

confidence: 99%

"Critical Lower Extremity Ischemia and Physical Vascular Therapy, Bemer®"

Hevér

2023

BJSTR

View full text Add to dashboard Cite

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Acute limb ischemia secondary to external iliac and common femoral artery dissection in a body builder

Cited by 1 publication

References 8 publications

"Critical Lower Extremity Ischemia and Physical Vascular Therapy, Bemer®"

"Critical Lower Extremity Ischemia and Physical Vascular Therapy, Bemer®"

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