Acute Limb Ischemia: An Update on Diagnosis and Management.
acute limb ischemia
diagnosis
duplex ultrasound
endovascular
mechanical thrombectomy
surgical revascularization
thromboaspiration
thrombolysis
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
14 Aug 2019
14 Aug 2019
Historique:
received:
16
06
2019
revised:
20
07
2019
accepted:
12
08
2019
entrez:
17
8
2019
pubmed:
17
8
2019
medline:
17
8
2019
Statut:
epublish
Résumé
This review presents an update on the diagnosis and management of acute limb ischemia (ALI), a severe condition associated with high mortality and amputation rates. A comprehensive spectrum of ALI etiology is presented, with highlights on embolism and in situ thrombosis. The steps for emergency diagnosis are described, emphasizing the role of clinical data and imaging, mainly duplex ultrasound, CT angiography and digital substraction angiography. The different therapeutic techniques are presented, ranging from pharmacological (thrombolysis) to interventional (thromboaspiration, mechanical thrombectomy, and stent implantation) techniques to established surgical revascularization (Fogarty thrombembolectomy, by-pass, endarterectomy, patch angioplasty or combinations) and minor or major amputation of necessity. Postprocedural management, reperfusion injury, compartment syndrome and long-term treatment are also updated.
Identifiants
pubmed: 31416204
pii: jcm8081215
doi: 10.3390/jcm8081215
pmc: PMC6723825
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Références
BMJ. 2000 Mar 18;320(7237):764-7
pubmed: 10720362
Radiology. 2000 Jul;216(1):67-77
pubmed: 10887229
Br J Surg. 2002 Apr;89(4):397-412
pubmed: 11952578
Ultrasound Med Biol. 2002 Mar;28(3):377-82
pubmed: 11978418
J Endovasc Ther. 2003 Apr;10(2):322-31
pubmed: 12877617
Ann Surg. 2003 Sep;238(3):382-9; discussion 389-90
pubmed: 14501504
J Vasc Interv Radiol. 2003 Sep;14(9 Pt 2):S283-8
pubmed: 14514834
J Vasc Surg. 2004 Mar;39(3):556-9
pubmed: 14981448
J Vasc Surg. 2004 May;39(5):1018-25
pubmed: 15111854
J Vasc Surg. 2007 Jan;45 Suppl S:S5-67
pubmed: 17223489
Phys Med Biol. 2007 Jun 7;52(11):2953-67
pubmed: 17505082
Perspect Vasc Surg Endovasc Ther. 2007 Dec;19(4):354-9; discussion 360-1
pubmed: 18287140
Rofo. 2008 Apr;180(4):325-31
pubmed: 18499908
JAMA. 2009 Jan 28;301(4):415-24
pubmed: 19176443
Semin Vasc Surg. 2009 Mar;22(1):17-24
pubmed: 19298931
J Vasc Surg. 2010 Aug;52(2):512-5
pubmed: 20434297
Ann Intern Med. 2010 Sep 7;153(5):325-34
pubmed: 20820041
J Thromb Thrombolysis. 2011 Feb;31(2):226-32
pubmed: 20848161
Cardiovasc Intervent Radiol. 2011 Dec;34(6):1123-36
pubmed: 21882081
N Engl J Med. 2012 Jun 7;366(23):2198-206
pubmed: 22670905
J Vasc Interv Radiol. 2013 Jan;24(1):3-15
pubmed: 23273693
J Vasc Surg. 2013 Oct;58(4):949-56
pubmed: 23714364
Cardiovasc Interv Ther. 2013 Oct;28(4):374-82
pubmed: 23756936
Cardiovasc Revasc Med. 2013 Nov-Dec;14(6):343-8
pubmed: 24060441
J Vasc Surg. 1989 Feb;9(2):334-41
pubmed: 2521908
J Cardiovasc Surg (Torino). 2015 Jun;56(3):393-400
pubmed: 25644826
J Endovasc Ther. 2015 Feb;22(1):87-95
pubmed: 25775686
Gen Thorac Cardiovasc Surg. 2015 Oct;63(10):540-8
pubmed: 26232356
Circulation. 2015 Nov 10;132(19):1805-15
pubmed: 26350058
SAGE Open Med. 2013 Dec 11;1:2050312113516110
pubmed: 26770694
Drug Des Devel Ther. 2017 Apr 18;11:1233-1241
pubmed: 28458517
Cardiovasc Diagn Ther. 2017 Jun;7(3):264-271
pubmed: 28567352
Eur Heart J. 2018 Mar 1;39(9):763-816
pubmed: 28886620
Int Angiol. 2017 Dec;36(6):505-516
pubmed: 28895369
Vasa. 2018 Feb;47(2):99-108
pubmed: 29160765
J Vasc Interv Radiol. 2018 May;29(5):607-613
pubmed: 29576493
J Clin Med. 2018 Apr 14;7(4):null
pubmed: 29661987
Int Angiol. 2018 Aug;37(4):327-334
pubmed: 29936722
Rom J Morphol Embryol. 2018;59(2):469-478
pubmed: 30173250
Vascular. 2019 Feb;27(1):71-77
pubmed: 30193552
Diagn Interv Radiol. 2018 Sep;24(5):298-301
pubmed: 30211683
World J Cardiol. 2018 Oct 26;10(10):145-152
pubmed: 30386492
J Vasc Surg. 2019 Mar;69(3):843-849
pubmed: 30679009
Eur J Vasc Endovasc Surg. 2019 Jun;57(6):816-821
pubmed: 31128987
J Vasc Surg. 2019 Jun;69(6S):3S-125S.e40
pubmed: 31159978
Surgery. 1978 Dec;84(6):822-34
pubmed: 715701
Ann Surg. 1994 Sep;220(3):251-66; discussion 266-8
pubmed: 8092895
J Vasc Surg. 1994 Jun;19(6):1021-30
pubmed: 8201703
J Vasc Surg. 1997 Sep;26(3):517-38
pubmed: 9308598
Radiology. 1997 Dec;205(3):675-81
pubmed: 9393520
J Endovasc Surg. 1998 Feb;5(1):24-31
pubmed: 9497203
N Engl J Med. 1998 Apr 16;338(16):1105-11
pubmed: 9545358
Cathet Cardiovasc Diagn. 1998 Dec;45(4):386-93
pubmed: 9863742