Acute Limb Ischemia

被引：243

作者：

Creager, Mark A. ^{[1
,2
]}

Kaufman, John A. ^{[3
]}

Conte, Michael S. ^{[4
]}

机构：

[1] Brigham & Womens Hosp, Div Cardiovasc, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Boston, MA USA

[3] Oregon Hlth & Sci Univ Hosp, Div Vasc & Intervent Radiol, Dotter Intervent Inst, Portland, OR USA

[4] Univ Calif San Francisco, Div Vasc & Endovas Surg, San Francisco, CA 94143 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2012年 / 366卷 / 23期

关键词：

PERIPHERAL ARTERIAL-DISEASE; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; MAGNETIC-RESONANCE ANGIOGRAPHY; ACUTE LEG ISCHEMIA; LOWER-EXTREMITY; THROMBOLYTIC THERAPY; OCCLUSIVE DISEASE; INITIAL TREATMENT; VASCULAR-SURGERY; MANAGEMENT;

D O I：

10.1056/NEJMcp1006054

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 57-year-old man presents with an acute onset of left foot pain, numbness, and partial loss of motor function. Four months ago, he underwent endovascular treatment for disabling claudication, which included placement of overlapping polytetrafluoroethylene-coated stents in the left superficial femoral and popliteal arteries. His popliteal and pedal pulses are absent, and the foot is cool and mottled. Angiography reveals complete occlusion of the stent, with thrombosis extending distally into the popliteal and tibial arteries below the knee. How should his case be managed?

引用

页码：2198 / 2206

页数：9

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