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[Acute peripheral arterial ischemia: diagnosis and interventional therapy]
1Klinische Abteilung für Angiographie und interventionelle Radiologie, Universitätsklinik für Radiodiagnostik, Währinger Gürtel 18-20, A-1090 Wien. maria.schoder@univie.ac.at
Wiener Medizinische Wochenschrift (1946)
|January 5, 2002
Summary
Acute peripheral arterial ischemia, often caused by embolism, requires prompt diagnosis. Digital subtraction angiography is key for identifying blockages and guiding treatment to prevent limb necrosis.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Emergency Medicine
Background:
- Acute peripheral arterial ischemia presents as rapid perfusion deficiency, risking limb necrosis.
- Embolic or thromboembolic causes account for over 90% of cases.
- Differential diagnosis involves various vascular conditions.
Purpose of the Study:
- To highlight the diagnostic and therapeutic role of digital subtraction angiography.
- To emphasize the importance of excluding contraindications before fibrinolytic therapy.
Main Methods:
- Review of diagnostic modalities for acute peripheral arterial ischemia.
- Focus on digital subtraction angiography (DSA) for diagnosis and intervention.
- Consideration of pre-treatment screening for fibrinolytic therapy contraindications.
Main Results:
- Digital subtraction angiography is the preferred radiological method.
- DSA enables both diagnosis and interventional treatment planning.
- Exclusion of contraindications is crucial before initiating local fibrinolytic therapy.
Conclusions:
- Prompt diagnosis and intervention are vital in acute peripheral arterial ischemia.
- Digital subtraction angiography is the gold standard for evaluation and treatment guidance.
- Careful patient selection is necessary for effective fibrinolytic therapy.