Epidemiology of Acute Critical Limb Ischemia

Knowles, Martyn; Timaran, Carlos H.

doi:10.1007/978-3-319-31991-9_1

Cited by 8 publications

(6 citation statements)

References 39 publications

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“…The incidence of ALI is 9-16 cases per 100.000 persons per year for the lower extremity. Etiology includes embolism, thrombosis with coexisting peripheral arterial disease, graft/stent thrombosis or peripheral aneurysm with embolism or thrombosis [4]. With the onset of ALI symptoms, both the patient's extremity and life are under threat.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of intravenous thrombolytic and adjuvant surgery in acute limb ischemia: Review of 23 patients

Demir¹,

Kahraman²

2019

Journal of Surgery and Medicine

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How to cite / Atıf için: Demir D, Kahraman N. Outcomes of intravenous thrombolytic and adjuvant surgery in acute limb ischemia: Review of 23 patients. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: Today, combined thrombolytic and surgical adjuvant embolectomy is known to have positive results in acute limb ischemia (ALI) treatment. In thrombolytic therapy, the intra-arterial method is generally used. In our study, we performed an intravenous thrombolytic and / or adjuvant surgical embolectomy in patients with failed bypass or diffuse aorta vascular disease who were unable to perform catheter directed thrombolytic therapy (CDT) due to technical difficulties. We evaluated the mortality and morbidity results of the patients. Methods: Retrospective cohort study was planned. This study consists of patients treated for ALI between January 2014 and September 2018. First, the intravenous thrombolytic treatment was performed. The patients who failed this treatment were additionally treated with surgical embolectomy. The patients were in Rutherford Class IIa and IIb. Results: A total of 23 ALI patients were included in the study. Thrombolytic treatment was performed on all of the patients. Twelve (52%) patients who failed thrombolytic treatment were also treated with surgical adjuvant embolectomy. In the first month, two patients (8.7%) required major amputation. In follow-up period of one year, a total three patients (13%) required major amputation and one patient (4.3%) had intracranial hemorrhage. Conclusions: ALI, despite all the developments in its treatment, is still a life threatening disease. This study suggests that our rate of amputation, hemorrhage and extremity rescue are similar or a little lower than the large series of intraarterial thrombolytic treatments in the literature. Today, the thrombolytic treatment methods have one thing in common which is the use of intra-arterial route. Yet we reckon that as in our study; the patients who cannot be treated with intraarterial catheterization the intravenous thrombolytic therapy and/or surgical adjuvant embolectomy can be helpful in rescuing those patient's life and extremity.

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Section: Discussionmentioning

confidence: 99%

Outcomes of intravenous thrombolytic and adjuvant surgery in acute limb ischemia: Review of 23 patients

Demir¹,

Kahraman²

2019

Journal of Surgery and Medicine

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“…Complications of liposuction procedures are well-documented in the surgical literature. In a literature review conducted in 2015 [6], many injuries related to liposuction are described, including abdominal wall injury, bowel perforation, hematoma, and venous thrombosis. There is also a previously existing case in which the right deep circumflex iliac artery, a branch of the right external iliac artery, is noted to have been injured during liposuction [7].…”

Section: Discussionmentioning

confidence: 99%

Waist Training Corset: An Unusual Cause of Acute Lower Limb Ischemia

Ramcharan

Hanandeh

Donaldson

et al. 2020

Cureus

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Acute limb ischemia (ALI) can occur due to many causes. This article illustrates a novel case of a very rare presentation and etiology of acute lower extremity ischemia. This case involves a middle-aged female with a history of smoking and obesity who presented with right lower extremity (RLE) pain. The patient had undergone a liposuction procedure a few days prior to her presentation and had been wearing a waist training corset. The patient was found to have multivessel thrombotic occlusive plaques starting from the right common iliac to the right tibial arteries. She was fully worked up and no other etiologies of her presentation was found. Thus, we concluded that her presentation was very likely precipitated by wearing the training corset, leading to right iliac artery thrombosis or perhaps a formal iliac atherosclerotic plaque destabilization and ipsilateral limb showering with athero-thrombi.

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“…The second commonest source of emboli is a diseased segment of proximal artery; atherosclerotic or aneurysmal. Much less frequently, embolism can occur due to air, fat, amniotic fl uid and systemic tumour fragments [8]. Rare cases of paradoxical embolism have been reported where the source is deep vein thrombosis of the legs, with a patent foramen ovale [9].…”

Section: Embolismmentioning

confidence: 99%

Atraumatic Acute Limb Ischemia: Clinical Presentation, Classification, Assessment and Management- A Review

Gunawansa¹

2017

Int J Vasc Surg Med

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Acute Limb Ischaemia (ALI) can be a devastating clinical emergency with potentially life or limb threatening consequences. The commonest aetiologies of ALI are traumatic, embolic or thrombotic. While traumatic ALI is fairly obvious in the trauma victim, embolic and thrombotic ALI may mimic other clinical conditions such as neurological disease which may cause delays in diagnosis. Immediate diagnosis, accurate assessment of limb viability and urgent intervention when needed play a crucial role in salvaging the affected limb and preventing a major amputation. Delay in diagnosis and intervention causes irreversible muscle ischaemia leading to eventual limb loss and potential systemic organ dysfunction due to associated lactic acidosis and other toxins.

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Epidemiology of Acute Critical Limb Ischemia

Cited by 8 publications

References 39 publications

Outcomes of intravenous thrombolytic and adjuvant surgery in acute limb ischemia: Review of 23 patients

Outcomes of intravenous thrombolytic and adjuvant surgery in acute limb ischemia: Review of 23 patients

Waist Training Corset: An Unusual Cause of Acute Lower Limb Ischemia

Atraumatic Acute Limb Ischemia: Clinical Presentation, Classification, Assessment and Management- A Review

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