Acute Limb Ischemia in a 95-year-old Female
Journal Title: Journal of Enam Meical College - Year 2013, Vol 3, Issue 1
Abstract
plaques in aorta, mainly in the infrarenal segment, the aorta was patent up to its bifurcation. Aboveknee amputation was done on following day after admission with subsequent disarticulation. Acute limb ischemia is a sudden decrease in limb perfusion that threatens limb viability and requires urgent evaluation and management.1 The clinical presentation is considered to be acute if it occurs within 2 weeks after onset of symptoms. Acute limb ischemia can be caused by acute thrombosis of a limb artery or bypass graft, embolism from the heart or a diseased artery, dissection and trauma. Assessment of limb appearance, temperature, pulses (assessed by Doppler), sensation and strength are used to determine whether the limb is viable, threatened or irreversibly damaged. Prompt diagnosis and revascularization by means of catheter-based thrombolysis or thrombectomy or by surgical reconstruction reduce the risk of limb loss. Catheter-directed thrombolysis is the preferred treatment for a viable or marginally threatened limb, recent occlusion, thrombosis of synthetic grafts, and occluded stents.2 Surgical revascularization is generally preferred for an immediately threatened limb or occlusion of more than 2 weeks duration. Amputation is performed in patients with irreversible damage.
Authors and Affiliations
Mohiuddin Ahmed
Keywords
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- EP ID EP36166
- DOI https://doi.org/10.3329/jemc.v3i1.13876
- Views 315
- Downloads 0
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