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One of the most urgent vascular circumstances: Acute limb ischemia

Rezzan D Acar1, Muslum Sahin1, Cevat Kirma1

  • 1Department of Cardiology, Kartal Kosuyolu Education and Research Hospital, Istanbul, Turkey.

SAGE Open Medicine
|January 16, 2016
PubMed

Acute limb ischemia is a sudden decrease in limb perfusion that threatens limb viability and requires urgent evaluation and management. Most of the causes of acute limb ischemia are thrombosis of a limb artery or bypass graft, embolism from the heart or a disease artery, dissection, and trauma. Assessment determines whether the limb is viable or irreversibly damaged. Prompt diagnosis and revascularization by means of catheter-based thrombolysis or thrombectomy and by surgery reduce the risk of limb loss and mortality. Amputation is performed in patients with irreversible damage. Despite urgent revascularization, amputation rate is 10%-15% in patients during hospitalization, mostly above the knee, and mortality within 1 year is 10%-15% due to the coexisting conditions.

Keywords:
Acute limb ischemiaamputationrevascularizationthrombosis

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