Successful limb salvage by endovascular treatment for critical limb ischemia subsequent to acute limb ischemia.
acute limb ischemia
critical limb ischemia
endovascular treatment
limb salvage
Journal
Oxford medical case reports
ISSN: 2053-8855
Titre abrégé: Oxf Med Case Reports
Pays: England
ID NLM: 101642070
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
08
03
2019
revised:
21
08
2019
accepted:
29
08
2019
entrez:
28
11
2019
pubmed:
28
11
2019
medline:
28
11
2019
Statut:
epublish
Résumé
Recently, there have been increasing opportunities to treat patients with peripheral arterial disease. Of those patients, both pathological conditions, such as acute limb ischemia (ALI) and chronic critical limb ischemia (CLI), are closely associated with high risks of major amputation, disability and death. We encountered a very rare case of CLI subsequent to ALI. An 83-year-old male showed the sudden onset of ALI, probably due to thromboembolism from an abdominal aortic aneurysm during an operation for gastric cancer. The patient was referred to another hospital for Fogarty thrombectomy. About 1 month after ALI onset, necrosis of the left first toe gradually progressed. On angiography of the left lower limb, we noted occlusions of both anterior and posterior tibial arteries. Then, we successfully conducted balloon angioplasty for the below-the-knee arteries. Thereby, favorable blood flow was achieved, which led to successful wound healing without amputations.
Identifiants
pubmed: 31772742
doi: 10.1093/omcr/omz103
pii: omz103
pmc: PMC6822603
doi:
Types de publication
Journal Article
Langues
eng
Pagination
omz103Informations de copyright
© The Author(s) 2019. Published by Oxford University Press.
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