Authors:

Abed Nego Okthara Sebayang

Abstract:

“Acute Ischemic Limb (ALI) is a condition in which there is a sudden decrease in perfusion of stool caused by thrombus and embolism. The thrombus in question is derived from the development of arterial disease, aortic dissection, thrombus graft, aneurysm, hypercoagulability, iatrogenic and other.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”

Keywords

Keyword Not Available

Downloads:

Download data is not yet available.

References

    1. Olinic, D.M.; Spinu, M.; Olinic, M.; Homorodean, C.; Tataru, D.A.; Liew, A.; Schernthaner, G.H.; Stanek, A.; Fowkes, G.; Catalano, M. Epidemiology of
  • peripheral artery disease in Europe: VAS Educational Paper. Int. Angiol. 2018, 37, 327–334.
    1. Creager, M.A.; Kaufman, J.A.; Conte, M.S. Clinical practice. Acute Limb Ischemia. N. Engl. J. Med. 2012, 366, 2198–2206.
    1. Conte, M.S.; Bradbury, A.W.; Kolh, P.; White, J.V.; Dick, F.; Fitridge, R.; Mills, J.L.; Ricco, J.B.; Suresh, K.R.; Murad, M.H.; et al. Global vascular guidelines on
  • the management of chronic limb-threatening ischemia. J. Vasc. Surg. 2019, 69, 3–125.
    1. Lawall, H.; Huppert, P.; Rümenapf, G. S3-Leitlinien zur Diagnostik, Therapie und Nachsorge der peripheren arteriellen Verschlusskrankheit. Vasa 2016,
  • 45, 11–82.
    1. Spînu, M.; Olinic, D.M.; Olinic, M.; Homorodean, C. In vivo imaging of complicated atherosclerotic plaque-role of optical coherence tomography (OCT).
  • Rom. J. Morphol. Embryol. 2018, 59, 469–478.
    1. Haghighat, L.; Altin, S.E.; Attaran, R.R.; Mena-Hurtado, C.; Regan, C.J. Review of the Latest Percutaneous Devices in Critical Limb Ischemia. J. Clin. Med.
  • 2018, 7-82.
    1. Bath, J.; Kim, R.J.; Dombrovskiy, V.Y.; Vogel, T.R. Contemporary trends and outcomes of thrombolytic therapy for acute lower extremity ischemia.
  • Vascular 2019, 27, 71–77.
    1. Kwok, C.R.; Fleming, S.; Chan, K.K.; Tibballs, J.; Samuelson, S.; Ferguson, J.; Nadkarni, S.; Hockley, J.A.; Jansen, S.J. Aspiration Thrombectomy versus
  • Conventional Catheter-Directed Thrombolysis as First-Line Treatment for Non-Iatrogenic Acute Lower Limb Ischemia. J. Vasc. Interv. Radiol. 2018, 29,
  • 607– 613.
    1. Kronlage, M.; Printz, I.; Vogel, B.; Blessing, E.; Mueller, O.J.; Katus, H.A.; Erbel, C. A comparative study on endovascular treatment of (sub) acute critical
  • limb ischemia: Mechanical thrombectomy vs thrombolysis. Drug Des. Devel. Ther. 2017, 11, 1233–1241.
    1. Canyi ˘git, M.; Ate¸s, Ö.F.; Sa ˘glam, M.F.; Yüce, G. Clearlumen-II thrombectomy system for treatment of acute lower limb ischemia with underlying
  • chronic occlusive disease. Diagn. Interv. Radiol. 2018, 24, 298–301.
    1. De Athayde Soares, R.; Matielo, M.F.; Neto, F.C.B.; Cury, M.V.M.; de Almeida, R.D.; de Jesus Martins, M.; de Carvalho, B.V.P.; Sacilotto, R. Analysis of the
  • results of endovascular and open surgical treatment of acute limb ischemia. J. Vasc. Surg. 2019, 69, 843–849.

PDF:

https://jurnal.harianregional.com/essential/full-58632

Published

2021-02-01

How To Cite

SEBAYANG, Abed Nego Okthara. ACUTE LIMB ISCHEMIA: AN UPDATE ON DIAGNOSIS AND MANAGEMENT.Essential: Essence of Scientific Medical Journal, [S.l.], v. 18, n. 2, p. 29-32, feb. 2021. ISSN 2655-6472. Available at: https://jurnal.harianregional.com/essential/id-58632. Date accessed: 08 Jul. 2024.

Citation Format

ABNT, APA, BibTeX, CBE, EndNote - EndNote format (Macintosh & Windows), MLA, ProCite - RIS format (Macintosh & Windows), RefWorks, Reference Manager - RIS format (Windows only), Turabian

Issue

Vol 18 No 2 (2020): Volume 18 No. 2 (Juli - Desember 2020) Essential: Essence of Scientific Medical Journal

Section

Articles

Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License