scholarly journals A Unique Case of Unilateral Lower Extremity Sparing Systemic Peripheral Gangrene

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Alexey Markelov ◽  
Steven DeFroda ◽  
Leopoldo Baccaro ◽  
Jamie Bastidas
Keyword(s):  
Septic Shock ◽  
Lower Extremity ◽  
External Iliac Artery ◽  
Artery Occlusion ◽  
Upper Extremities ◽  
Vasopressor Therapy ◽  
Unique Case ◽  
Iliac Artery Occlusion ◽  
Peripheral Gangrene ◽  
Severe Septic Shock

We present here the case of a 70-year-old female who developed a systemic peripheral gangrene in both of her upper extremities (all fingers) and her right foot due to a severe septic shock requiring a systemic vasopressor therapy. Interestingly, the patient’s left foot remained spared from gangrenous changes possibly due to a chronic external iliac artery occlusion and thus the lower concentration of vasopressors in that extremity.

Endovascular Repair of External Iliac Artery Occlusion after Hip Prosthesis Migration

2003 ◽  
Vol 10 (3) ◽  
pp. 668-671 ◽  
Author(s):  
Christopher J. Kwolek ◽  
Marc R. Matthews ◽  
James M. Hartford ◽  
David J. Minion ◽  
Thomas H. Schwarcz ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Iliac Artery ◽  
Hip Prosthesis ◽  
Iliac Fossa ◽  
Revision Arthroplasty ◽  
External Iliac Artery ◽  
Artery Occlusion ◽  
External Compression ◽  
Iliac Artery Occlusion ◽  
Left Limb

Purpose: To report emergent endovascular intervention to restore lower extremity arterial patency after migration of a hip prosthesis caused thrombosis of the external iliac artery (EIA). Case Report: Nine months following left hip revision arthroplasty, a 66-year-old woman presented to the Emergency Department with the complaints of an acutely painful left lower extremity for over 6 hours. Imaging showed the metallic acetabular portion of the hip prosthesis in the iliac fossa, with severe external compression of the EIA. After thrombolysis to remove clot from the EIA, an 8×60-mm self-expanding Smart stent was deployed in the left EIA from a contralateral access. The procedure was successful, and the patient was discharged. An infected wound from a compartment fasciotomy delayed revision of the hip prosthesis. Nine weeks after stenting, the patient returned with a cold, pulseless left limb; a femorofemoral bypass was constructed to restore perfusion. Conclusions: While stent placement restored flow for 9 weeks after the initial ischemic event, the recurrent thrombosis could have been prevented by earlier revision of the migrated prosthesis.

scholarly journals Complete External Iliac Artery Occlusion in a 34-year-old Cyclist

2002 ◽  
Vol 23 (4) ◽  
pp. 376-377 ◽  
Author(s):  
P. O'Ceallaigh ◽  
P. Burns ◽  
R. McLaughlin ◽  
M. Leader ◽  
D. Bouchier-Hayes
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion

Common and external iliac artery occlusion in Behçet’s disease: a case of anchoring bias

2020 ◽  
Vol 13 (12) ◽  
pp. e236554
Author(s):  
Hussain Khawaja ◽  
Cristina Font
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Behçet’S Disease ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Pain Syndrome ◽  
External Iliac Artery ◽  
Artery Occlusion ◽  
Behcet's Disease ◽  
Iliac Artery Occlusion ◽  
Anchoring Bias

This report describes the case of a 45-year-old woman with a history of Behçet’s disease and complex regional pain syndrome of her legs who presented with severe pain and swelling in her left lower extremity. The patient was initially diagnosed with exacerbation of complex regional pain syndrome, which fit the symptom complex of hyperalgesia, oedema and skin temperature changes. However, after unsuccessful attempts at significant pain relief during admission, CT angiography demonstrated occlusion of the left common and external iliac arteries, a limb-threatening emergency. This case describes an example of anchoring bias, a type of cognitive bias in which there is a tendency to rely too heavily on an initial piece of information, the ‘anchor’, when making decisions. This report emphasises that clinicians should be aware of biases when making decisions and avoid anchoring bias by asking themselves if their diagnosis is influenced by any leading pieces of information.

Femoral-Femoral Bypass for Limb Salvage to Correct Common Iliac Occlusion after Lower Extremity Trauma

2021 ◽  
pp. 000313482110586
Author(s):  
Christine Castater ◽  
Ben Hazen ◽  
G. Stewart Barrett ◽  
Carolyn Davis ◽  
Caroline Butler ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Limb Salvage ◽  
Artery Occlusion ◽  
Vascular Trauma ◽  
Iliac Artery Occlusion ◽  
Lower Extremity Trauma ◽  
Below The Knee ◽  
Extremity Trauma ◽  
Poor Outcomes ◽  
Iliac Occlusion

Background Roadway injuries are a leading cause of lower extremity vascular trauma. Treating these injuries involves controlling life-threatening hemorrhage and restoring distal perfusion. Materials and Methods We describe a unique presentation of chronic iliac artery occlusion in the setting of blunt trauma requiring extra-anatomic bypass for maximal limb salvage. Results A 50-year-old male presented after a pedestrian versus auto accident. He had mangled bilateral lower extremities and was taken emergently for lower extremity amputations. He was found to have chronic left common iliac occlusion and a femoral-femoral bypass was performed to assist with healing his left below-the-knee amputation Discussion Lack of adequate perfusion can cause poor outcomes in limb salvage. This case demonstrated that lower extremity trauma can be complicated by chronic vascular disease. Reperfusion and adequate wound healing can be accomplished by using bypass grafting after more traditional reperfusion techniques fail.

External iliac artery occlusion after blunt trauma

BMJ ◽  
2014 ◽  
Vol 349 (oct22 4) ◽  
pp. g6161-g6161
Author(s):  
M. Chaudhry ◽  
T. Cristescu
Keyword(s):  
Blunt Trauma ◽  
Iliac Artery ◽  
External Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion

External Iliac Artery Occlusion Due to Pelvic Fracture

1993 ◽  
Vol 86 (5) ◽  
pp. 572-574 ◽  
Author(s):  
LOUIS E. SAMUELS ◽  
CRAIG F. GROSS ◽  
ROBERT J. DlGIOVANNI ◽  
JEAN-RENÉ DUPONT ◽  
MORRIS D. KERSTEIN
Keyword(s):  
Pelvic Fracture ◽  
Iliac Artery ◽  
External Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion
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