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

Journal Title: International Journal of Vascular Surgery and Medicine - Year 2017, Vol 3, Issue 3

Abstract

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.

Authors and Affiliations

Gunawansa Nalaka

Keywords

Related Articles

Bronchial Artery Embolization for Moderate to Massive Hemoptysis

Purpose of study: Hemoptysis is a common emergency coming to the pulmonary medicine and general Medicine department. Massive hemoptysis has high mortality even after surgical treatment. Bronchial artery embolization is a...

Endovascular Interventions for Infra-Inguinal Arterial Disease: Collecting Evidence to Expand Indications

Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis, with a prevalence of 29% in those older than 70 years or aged 50-70 years who are either smokers or diabetic [1,2]. The majority of persons...

Patency of Reverse Saphenous Vein Graft for Revascularization of Lower Limbs in Diabetic Patients

Objectives: Diabetic patients are prone to early development of vasculopathy, resulting in lower limb ischemia, which can lead to non-healing ulcers, foot infection, loss of limb, and even death. These patients need reva...

Surgical Ventricular Restoration for Post infarction Left Ventricular Aneurysm

Surgical ventricular restoration is a procedure designed to restore or remodel the left ventricle. Surgical ventricular restoration by means of the Dor procedure is a surgical option in patients with coronary artery dise...

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

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 fai...

Download PDF file
  • EP ID EP347229
  • DOI 10.17352/2455-5452.000029
  • Views 57
  • Downloads 0

How To Cite

Gunawansa Nalaka (2017). Atraumatic Acute Limb Ischemia: Clinical Presentation, Classification, Assessment and Management- A Review. International Journal of Vascular Surgery and Medicine, 3(3), 46-52. https://europub.co.uk/articles/-A-347229