Abstract
Acute Limb Ischemy: Theory and Clinical Practice in Vascular Surgery
Highlights
Acute limb ischemia is defined as a sudden inadequate blood circulation of the limbs or a sudden worsening of pre-existing ischemic disease of the limbs, manifested by pain, disturbance of perception and movement of different intensity and range, depending on etiology and localization of artery occlusion.Etiology 15% of cases is caused by embolism, 85% of arterial thrombosis, especially in patients with atherosclerotic disease [1].In the Case of an Embolic Closure: 90% the source is cardiac The embolus embusses typically to areas of arterial bifurcation
Acute limb ischemy is caused by sudden inadequate blood flow of the limbs
Disturbance of perception and movement of varying intensity and range. 15% cases is caudes by embolism, 85% is caudes by arterial thrombosis
Summary
Acute limb ischemia is defined as a sudden inadequate blood circulation of the limbs or a sudden worsening of pre-existing ischemic disease of the limbs, manifested by pain, disturbance of perception and movement of different intensity and range, depending on etiology and localization of artery occlusion. Etiology 15% of cases is caused by embolism, 85% of arterial thrombosis, especially in patients with atherosclerotic disease [1]. In the Case of an Embolic Closure: 90% the source is cardiac The source of distal microembolization is dissrupted atherosclerotic plaques. In 5-10% of distal embolization cases, the source is unknown. Paradoxical embolization is, when the formation of thrombotic matter takes place in the venous river, which penetrates the right part of the heart through intracardiac communication (most often foramen ovale) into the artery system and subsequently embolises it (Figures 1 & 2) and (Table 1). Autologous bypass: a) rest of flaps in in-situ graph b) stenosis at the site of previous vein damage (flebitis) Native Artery Closure
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