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Acute Limb Ischemia
Acute limb ischemia (ALI) is a rapid decrease in lower limb blood flow due to acute occlusion of peripheral artery or bypass graft, and in ALI not only limbs but also life prognosis will be poor unless quick and appropriate treatment is given. The etiology is broadly divided into embolism and thromb...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326052/ https://www.ncbi.nlm.nih.gov/pubmed/30636997 http://dx.doi.org/10.3400/avd.ra.18-00074 |
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author | Obara, Hideaki Matsubara, Kentaro Kitagawa, Yuko |
author_facet | Obara, Hideaki Matsubara, Kentaro Kitagawa, Yuko |
author_sort | Obara, Hideaki |
collection | PubMed |
description | Acute limb ischemia (ALI) is a rapid decrease in lower limb blood flow due to acute occlusion of peripheral artery or bypass graft, and in ALI not only limbs but also life prognosis will be poor unless quick and appropriate treatment is given. The etiology is broadly divided into embolism and thrombosis with various comorbidities. The symptoms of ALI are abrupt with pain, numbness, and coldness of lower limb, and paresthesia, contracture, and irreversible purpura will appear with the exacerbation of ischemia. Severity and treatment strategy should be determined based on physical findings and image findings. Considering life prognosis, limb amputation should be done without hesitation when the limb was diagnosed as irreversible. ALI can be treated by means of open surgical revascularization, endovascular, or hybrid approach with rapid systemic administration of heparin. In any cases, evaluating the lesions by intraoperative angiography and appropriate additional treatment are important. ALI is a serious disease requiring urgent treatment, and it is essential to promptly perform the best initial treatment that can be performed at each facility. (This is a translation of Jpn J Vasc Surg 2018; 27: 109–114.) |
format | Online Article Text |
id | pubmed-6326052 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology |
record_format | MEDLINE/PubMed |
spelling | pubmed-63260522019-01-11 Acute Limb Ischemia Obara, Hideaki Matsubara, Kentaro Kitagawa, Yuko Ann Vasc Dis Review Article Acute limb ischemia (ALI) is a rapid decrease in lower limb blood flow due to acute occlusion of peripheral artery or bypass graft, and in ALI not only limbs but also life prognosis will be poor unless quick and appropriate treatment is given. The etiology is broadly divided into embolism and thrombosis with various comorbidities. The symptoms of ALI are abrupt with pain, numbness, and coldness of lower limb, and paresthesia, contracture, and irreversible purpura will appear with the exacerbation of ischemia. Severity and treatment strategy should be determined based on physical findings and image findings. Considering life prognosis, limb amputation should be done without hesitation when the limb was diagnosed as irreversible. ALI can be treated by means of open surgical revascularization, endovascular, or hybrid approach with rapid systemic administration of heparin. In any cases, evaluating the lesions by intraoperative angiography and appropriate additional treatment are important. ALI is a serious disease requiring urgent treatment, and it is essential to promptly perform the best initial treatment that can be performed at each facility. (This is a translation of Jpn J Vasc Surg 2018; 27: 109–114.) Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018-12-25 /pmc/articles/PMC6326052/ /pubmed/30636997 http://dx.doi.org/10.3400/avd.ra.18-00074 Text en Copyright © 2018 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2018 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original. |
spellingShingle | Review Article Obara, Hideaki Matsubara, Kentaro Kitagawa, Yuko Acute Limb Ischemia |
title | Acute Limb Ischemia |
title_full | Acute Limb Ischemia |
title_fullStr | Acute Limb Ischemia |
title_full_unstemmed | Acute Limb Ischemia |
title_short | Acute Limb Ischemia |
title_sort | acute limb ischemia |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326052/ https://www.ncbi.nlm.nih.gov/pubmed/30636997 http://dx.doi.org/10.3400/avd.ra.18-00074 |
work_keys_str_mv | AT obarahideaki acutelimbischemia AT matsubarakentaro acutelimbischemia AT kitagawayuko acutelimbischemia |