Abstract
Patients suffering from acute limb ischemia (ALI) are at risk for significant morbidity and mortality. Successful surgical revascularization in this high-risk group is dependent on maintaining a systematic treatment approach. First, this chapter will review those clinical findings important for recognizing ALI. The classification of an affected limb according to its predicted viability will be discussed. Ultimately this categorization will help determine the urgency or futility of restoring blood flow to an ischemic leg. Finally, characteristics of the two major causes of ALI, embolus and thrombosis, will be explored to illustrate various treatment approaches for revascularization.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rutherford RB, Baker JD, Ernst C, et al. Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg. 1997;26:517–38.
Dormandy J, Heeck L, Vig S. Acute limb ischemia. Semin Vasc Surg. 1999;12:148–53.
Abbott WM, Maloney RD, McCabe CC, et al. Arterial embolism: A 44-year perspective. Am J Surg. 1982;143:460–4.
O’Connell JB, Quinones-Baldrich WJ. Proper evaluation and management of acute embolic versus thrombotic limb ischemia. Semin Vasc Surg. 2009;22:10–6.
Owens CD, Ho KJ, Conte MS. Lower extremity vein graft failure: a translational approach. Vasc Med. 2008;13:63–74.
Norgren L, Hiatt WR, Dormandy JA, et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg. 2007;45 Suppl S:S5.
de Donato G, Setacci F, Sirignano P, et al. The combination of surgical embolectomy and endovascular techniques ma improve outcomes of patients with acute lower limb ischemia. J Vasc Surg. 2014;59:729–36.
Zaraca F, Stringari C, Ebner JA, Ebner H. Routine versus selective use of intraoperative angiography during thromboembolectomy for acute lower limb ischemia: analysis of outcomes. Ann Vasc Surg. 2010;24:621–7.
Pemberton M, Varty K, Nydahl S, Bell PRF. The surgical management of acute limb ischaemia due to native vessel occlusion. Eur J Vasc Endovasc Surg. 1999;17:72–6.
Yeager RA, Moneta GL, Taylor LM, et al. Surgical management of severe acute lower extremity ischemia. J Vasc Surg. 1992;15:385–93.
Arato E, Kurthy M, Sinay L, et al. Pathology and diagnostic options of lower limb compartment syndrome. Clin Hemorheol Microcirc. 2009;41:1–8.
Campbell WB, Ridler BM, Szymanska TH. Two-year follow-up after acute thromboembolic limb ischaemia: the importance of anticoagulation. Eur J Vasc Endovasc Surg. 2000;19:168–73.
Eliason JL, Wainess RM, Proctor MC, et al. A national and single institutional experience in the contemporary treatment of acute lower extremity ischemia. Ann Surg. 2003;238:382–9.
Tawes RL, Harris EJ, Brown WH, et al. Arterial thromboembolism. A 20-year perspective. Arch Surg. 1985;120:595–9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Halandras, P.M. (2017). Surgical Treatment for Acute Limb Ischemia. In: Dieter, R., Dieter, Jr, R., Dieter, III, R., Nanjundappa, A. (eds) Critical Limb Ischemia. Springer, Cham. https://doi.org/10.1007/978-3-319-31991-9_39
Download citation
DOI: https://doi.org/10.1007/978-3-319-31991-9_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-31989-6
Online ISBN: 978-3-319-31991-9
eBook Packages: MedicineMedicine (R0)