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Arterial Embolism

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Vascular Surgery

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Abstract

A 65-year-old man presented with acute severe pain in his right leg. Medical history revealed non-insulin-dependent diabetes mellitus for 3 years and a myocardial infarction (MI) some 5 years ago. The pain in the right leg developed suddenly over 6 hours without associated trauma and became worse over time. On admission, the right leg looked pale distally from the level of the knee. There was loss of light touch sensation on examination of the foot. The patient had difficulties in wiggling the toes. Plantarflexion and dorsiflexion of the toes were still possible. Palpation of the calf showed soft but tender muscles. Clinical examination of the abdomen showed no abnormalities. There was no pulsating mass. Irregular but bounding pulsations were felt in the right femoral artery. Popliteal artery and tibial artery pulsations were absent. Normal pulsations were felt in the left popliteal and posterior tibial artery.

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References

  1. Panetta T, Thompson JE, Talkinton CM, Garrett WV, Smith BL. Arterial embolectomy: a 34-year experience with 400 cases. Surg Clin North Am. 1986;66:339.

    PubMed  CAS  Google Scholar 

  2. Thompson JE, Sigler L, Raut PS, Austin DJ, Patman RD. Arterial embolectomy: a 20-year experience. Surgery. 1970;67:212-220.

    PubMed  CAS  Google Scholar 

  3. Mills JL, Porter JM. Basic data related to clinical decision making in acute limb ischemia. Ann Vasc Surg. 1991;5:96.

    Article  PubMed  CAS  Google Scholar 

  4. Keating EC, Gross SA, Schlamowitz RA. Mural thrombi in myocardial infarctions. Am J Med. 1983;74:989.

    Article  PubMed  CAS  Google Scholar 

  5. Reber PU, Patel AG, Stauffer E, Muller MF, Do DD, Kniemeyer HW. Mural aortic thrombi: an important cause of peripheral embolization. Vasc Surg. 1999;30:1084-1089.

    Article  CAS  Google Scholar 

  6. Abbott WM, Maloney RD, McCabe CC, Lee CE, Wirthlin LS. Arterial embolism: a 44 year perspective. Am J Surg. 1982;143:460-464.

    Article  PubMed  CAS  Google Scholar 

  7. Beard JD, Nyamekye I, Earnshaw JJ, Scott DJ, Thompson JF. Intraoperative streptokinase: a useful adjunct to balloon-catheter embolectomy. Br J Surg. 1993;80:21-24.

    Article  PubMed  CAS  Google Scholar 

  8. Heymans S, Vanderschueren S, Verhaeghe R, et al. Outcome and one year follow-up of intra-arterial staphylokinase in 191 patients with peripheral arterial occlusion. Thromb Haemost. 2000;83:666-671.

    PubMed  CAS  Google Scholar 

  9. Sniderman KW, Kalman PG, Quigley MJ. Percutaneous aspiration embolectomy. J Cardiovasc Surg (Torino). 1993;34:255.

    CAS  Google Scholar 

  10. Haimovici H. Muscular, renal and metabolic complications of acute arterial occlusions: myonephropathic-metabolic syndrome. Surgery. 1979;85:461.

    PubMed  CAS  Google Scholar 

  11. Fischer RD, Fogarty TJ, Morrow AG. Clinical and biochemical observations of the effect of transient femoral artery occlusion in man. Surgery. 1970;68:323.

    Google Scholar 

  12. Rubin BB, Walker PM. Pathophysiology of acute skeletal muscle injury: adenine nucleotide metabolism in ischemic reperfused muscle. Semin Vasc Surg. 1992;5:11.

    Google Scholar 

  13. Pattwell D, McArdle A, Griffiths RD, Jackson MJ. Measurement of free radical production by in vivo microdialysis during ischemia/reperfusion injury to skeletal muscle. Free Radic Biol Med. 2001;30:979-985.

    Article  PubMed  CAS  Google Scholar 

  14. Padberg FT, Hobson RWII. Fasciotomy in acute limb ischemia. Semin Vasc Surg. 1992;5:52.

    Google Scholar 

  15. Rush DS, Frame SB, Bell RM, Berg EE, Kerstein MD, Haynes JL. Does open fasciotomy contribute to morbidity and mortality after acute lower extremity ischemia and revascularization? J Vasc Surg. 1989;10:343-350.

    PubMed  CAS  Google Scholar 

  16. Whitesides TE, Heckman MM. Acute compartment syndrome: update on diagnosis and treatment. J Am Acad Orthop Surg. 1996;4:209-218.

    PubMed  Google Scholar 

  17. Janzing HMJ. The acute compartment syndrome, a complication of fractures and soft tissue injuries of the extremities. A clinical study about diagnosis and treatment of the compartment syndrome. Doctoral thesis. Leuven University; 1999.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Vascular Surgery, University Hospital Gasthuisberg, Leuven, Belgium

    Andre Nevelsteen†

Authors
  1. Andre Nevelsteen†
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Editor information

Editors and Affiliations

  1. , Department of Vascular Surgery, Imperial College London, London, SW7 2AZ, United Kingdom

    George Geroulakos

  2. School of Medicine, Dept. Surgery, Yale University, New Haven, 06520-8062, Connecticut, USA

    Bauer Sumpio

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© 2010 Springer London

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Nevelsteen†, A. (2010). Arterial Embolism. In: Geroulakos, G., Sumpio, B. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-84996-356-5_13

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  • DOI: https://doi.org/10.1007/978-1-84996-356-5_13

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84996-355-8

  • Online ISBN: 978-1-84996-356-5

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