scholarly journals Acute limb ischemia in a patient with Covid-19 pneumonia: a case report

2021 ◽  
Author(s):  
Ulfah Kartikasari ◽  
Susanthy Djajalaksana ◽  
Heny Martini
Keyword(s):  
Case Report ◽  
Limb Ischemia ◽  
Acute Limb Ischemia

Acute limb ischemia in a patient with pre-fibrotic myelofibrosis complicated by heparin-induced thrombocytopenia and thrombosis – case report and systematic review of dabigatran use

VASA ◽  
2020 ◽  
pp. 1-6 ◽  
Author(s):  
Marina Di Pilla ◽  
Stefano Barco ◽  
Clara Sacco ◽  
Giovanni Barosi ◽  
Corrado Lodigiani
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Review Of The Literature ◽  
Heparin Induced Thrombocytopenia ◽  
Lower Limb Ischemia ◽  
Vein Thrombosis ◽  
Left Lower Limb

Summary: A 49-year-old man was diagnosed with pre-fibrotic myelofibrosis after acute left lower-limb ischemia requiring amputation and portal vein thrombosis. After surgery he developed heparin-induced thrombocytopenia (HIT) with venous thromboembolism, successfully treated with argatroban followed by dabigatran. Our systematic review of the literature supports the use of dabigatran for suspected HIT.

scholarly journals Angio-Seal Vascular Closure Related Acute Limb Ischemia: A Case Report

2019 ◽  
Vol 8 (2) ◽  
pp. 49-52
Author(s):  
Maya Srinivasan ◽  
Pramod Theetha Kariyanna ◽  
Jeremy Smith ◽  
Sushruth Das ◽  
Amog Jayarangaiah ◽  
...  
Keyword(s):  
Case Report ◽  
Limb Ischemia ◽  
Acute Limb Ischemia

scholarly journals The Role of Catheter Directed Thrombolysis on Acute Limb Ischemia (an Evidence-Based Case Report)

2021 ◽  
Vol 49 (1) ◽  
pp. 3-24
Author(s):  
Ali Farhan Fathoni ◽  
Raden Suhartono
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Controlled Trial ◽  
Limb Ischemia ◽  
Evidence Based ◽  
Acute Limb Ischemia ◽  
First Line ◽  
Bleeding Events ◽  
Catheter Directed Thrombolysis ◽  
Significant Difference

Introduction. Acute limb ischemia can be managed both with surgery and thrombolysis, especially catheter-directed thrombolysis. The risk, benefit and indication of thrombolysis is already well known. However, as a first line therapy, it is unclear which intervention is more beneficial; the catheter directed thrombolysis or surgery. This report aims to elucidate which technique is more effective and safer. Method. This is an Evidence-Based Case Report based on a case of a geriatric, diabetic patient whom suffered acute limb ischemia. The report systematically search for meta-analysis, systematic review, randomized controlled trial and cohort studies from Cochrane central and PubMed for all adult patient suffering from acute limb ischemia whose are treated with catheter-directed thrombolysis or surgery as first-line intervention and comparing the outcome in terms of efficacy (clinical outcome such as patency and amputation-free rates) and safety (mortality and morbidity). Results. Subjects’ characteristics should be placed first to draw the demography. Put the study finding(s) here with no interpretation. For all adult patient regardless of their diabetic status and age there is no statistically significant difference for limb salvage, amputation, and mortality between two technique, however catheter directed thrombolysis showed reduced need for additional intervention whilst increasing risk of bleeding events. Conclusion. Neither techniques are more superior than the other but catheter-directed thrombolysis can be considered given that it reduce the need for further intervention, less invasive and even though it has risks for bleeding complication it is still lower compared to systemic thrombolysis. The selection of which technique can be up to clinician’s discretion in consideration of risk and benefit for each patient.

scholarly journals Superior Mesenteric Arterial Embolism Associated with an Acute Limb Ischemia: A Case Report and Literature Review

2014 ◽  
Vol 04 (04) ◽  
pp. 181-186 ◽  
Author(s):  
Abdesslam Bouassria ◽  
Elbachir Benjelloun ◽  
Imane Kamaoui ◽  
Hicham Elbouhaddouti ◽  
Ouadii Mouaqit ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Arterial Embolism

Abstract 275: Angioscore Balloon in the Treatment of Collagen Plug Occlusion and Acute Limb Ischemia: Case Report

2012 ◽  
Vol 32 (suppl_1) ◽  
Author(s):  
Pooja M Swamy ◽  
Abeer Berry ◽  
Mahir D Elder
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Femoral Artery ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Common Femoral Artery ◽  
Closure Device ◽  
Acute Limb Ischemia ◽  
Access Site ◽  
Left Lower Extremity

BACKGROUND: Complications of the vascular access-site (VAS) are not uncommon. With the evolution of hemostatic techniques used in the access site closure, in the last two decades, the rate of VAS related complications has significantly reduced from 6% to 2%. However, they still remain to be an important cause of morbidity following catheterization procedures. The most common complications encountered with closure of VAS are hematoma formation, arterio-venous fistula, dissection, pseudo -aneurysm and limb ischemia. According to two meta-analyses, the incidences of these complications were very low. The incidence of collagen plug from an Angioseal(™) device causing acute leg ischemia is low and upon occurrence, the use of an Angioscore(™) balloon in successful revascularization has never been reported. CASE PRESENTATION: A 62-year-old male with known severe peripheral artery disease, diabetes mellitus, hypertension and hypercholesterolemia had a successful angioplasty of a 100% chronically occluded right superficial femoral artery (SFA) via the left common femoral artery. An Angioseal (™) closure device was used to achieve hemostasis. The patient was discharged home after an uneventful post procedural course. Two days later, he presented to the ER with a cold and numb left lower extremity. On exam, the left lower extremity had no palpable pulse from below right femoral artery, confirmed by Doppler. The extremity was cold to touch with decreased sensory perception. Patient was found to have critical left lower extremity ischemia. He was emergently taken for a selective left lower extremity angiogram using the right common femoral artery for access. Fragments of the closure device and a collagen plug causing a total occlusion of the left common femoral artery were found. After a pre-dilatation with a 4.0x 40 balloon under prolonged inflations, a lesion reduction from 100 % to 30% with a TIMI 0 to TIMI 3 flow was achieved using an Angioscore (™) 5.0x 40 balloon inflated at 10 atmospheres. Subsequently, using laser 2.0 atherectomy of the left common femoral artery was performed. Flow in the dorsalis pedis artery was confirmed with Doppler. DISCUSSION: The Angio-Seal(™) device has a polylactide and polyglycolide polymer anchor, a collagen plug and a suture contained within a carrier system. Hemostasis is achieved by compressing the arterial puncture site between the anchor and the collagen plug. With newer studies, it appears that the occurrence of critical limb ischemia from collagen plug is under recognized. We therefore, with this case report urge the physicians to be aware of this serious though rare complication of closure devise and also highlight the successful use of Angioscore (™) balloon in the emergent treatment of non-athermatous vascular occlusion causing critical limb ischemia.

scholarly journals Giant honey bee (Apis dorsata) sting and acute limb ischemia: a case report and review of the literature

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Gowri M. Ratnayake ◽  
P. N. Weerathunga ◽  
Matharage Shani Apsara Dilrukshi ◽  
E. W. R. Amara Witharana ◽  
Saroj Jayasinghe
Keyword(s):  
Case Report ◽  
Honey Bee ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Apis Dorsata ◽  
Review Of The Literature

scholarly journals Presentation with perforation of the terminal ileum and acute limb ischemia in Crohn’s disease: A case report

2021 ◽  
Vol 80 ◽  
pp. 105626
Author(s):  
Anis Haddad ◽  
Ahmed Ben Mahmoud ◽  
Youssef Chaker ◽  
Alia Zehani ◽  
Rachid Ksantini ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Crohn's Disease ◽  
Terminal Ileum ◽  
Limb Ischemia ◽  
Acute Limb Ischemia

scholarly journals Acute limb ischemia caused by ruptured cardiac hydatid cyst – A case report

2019 ◽  
Vol 55 ◽  
pp. 18-22
Author(s):  
Samer Makki Mohamed Al-Hakkak ◽  
Firas Shaker Mahmoud Al-Faham ◽  
Ali Najeh Al-Awwady
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Limb Ischemia ◽  
Acute Limb Ischemia
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