Acute Limb Ischemia Therapies: When and How to Treat Endovascularly

被引:10
作者
Hage, Anthony N. [1 ]
McDevitt, Joseph L. [2 ]
Chick, Jeffrey Forris Beecham [3 ]
Vadlamudi, Venu [3 ]
机构
[1] Thomas Jefferson Univ, Dept Surg, Philadelphia, PA 19107 USA
[2] Univ Texas Southwestern Med Ctr Dallas, Dept Radiol, Dallas, TX USA
[3] Inova Alexandria Hosp, Dept Cardiovasc & Intervent Radiol, 4320 Seminary Rd, Alexandria, VA 22304 USA
关键词
acute limb ischemia; endovascular; thrombolysis; thrombectomy; interventional radiology; CATHETER-DIRECTED THROMBOLYSIS; LOWER-EXTREMITY ISCHEMIA; FIBRINOGEN LEVEL; INTRAARTERIAL THROMBOLYSIS; PERIPHERAL OCCLUSIONS; ARTERIAL; MANAGEMENT; OUTCOMES; THROMBECTOMY; UROKINASE;
D O I
10.1055/s-0038-1676321
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Acute limb ischemia is an emergent limb and life-threatening condition with high morbidity and mortality. An understanding of the presentation, clinical evaluation, and initial workup, including noninvasive imaging evaluation, is critical to determine an appropriate management strategy. Modern series have shown endovascular revascularization for acute limb ischemia to be safe and effective with success rates approaching surgical series and with similar, or even decreased, perioperative morbidity and mortality. A thorough understanding of endovascular techniques, associated pharmacology, and perioperative care is paramount to the endovascular management of patients presenting with acute limb ischemia. This article discusses the diagnosis and strategies for endovascular treatment of acute limb ischemia.
引用
收藏
页码:453 / 460
页数:8
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