scholarly journals Acute Arterial Occlusions in Patients with COVID-19: Results and Outcomes

2021 ◽  
Vol 4 (1) ◽  
pp. 01-08
Author(s):  
Rafael Soares
Keyword(s):  
Lower Limb ◽  
Arterial Occlusion ◽  
Systemic Hypertension ◽  
Acute Limb Ischemia ◽  
Fogarty Catheter ◽  
Tobacco User ◽  
Acute Arterial Occlusion ◽  
Left Limb ◽  
The Right ◽  
The Impact

In this paper, we aimed to describe a case series report of four patients that were admitted in the emergency room of our vascular and endovascular surgery department with acute arterial occlusion after a diagnosis of Covid-19 infection. The first patient was a male, 50 years, tobacco user, with arterial systemic hypertension and COVID-19 positive that was admitted with an acute arterial occlusion Rutherford IIb in the left lower limb. He was submitted to an arterial thromboembolectomy with Fogarty catheter and had a satisfactory evolution. CASE 2 was a female, 63 years, with arterial systemic hypertension, diabetes, esquizophrenia, that was admitted with acute limb ischemia (ALI) Rutherford III in the upper left limb. Despite attempts do revascularize the upper limb, the patient evolved with a hand amputation. CASE 3 was a Male patient, 49 years, HIV positive, diabetic with previous debridement in both feet due to diabetic foot infection, tobacco user and Rutherford IIb ALI in the right lower limb..The patient was submitted to an arterial thromboembolectomy with Fogarty catheter, however presented with fasciotomy infection and another post-operative complications that led him to die. Finally, CASE 4 was a female patient, 49 years, diabetic, admitted with COVID-19 infection that presented ALI during hospitalization on the right lower limb. She was submitted to proper thromboembolectomy, with a satisfactory evolution and limb salvage. COVID-19 pandemic crisis is a challenging situation that has increased the number of acute arterial thrombosis and embolism urgencies and emergencies surgeries in the vascular world. The four patients related in this paper bring valuable information regarding the impact of COVID-19 on micro and macrovascular system.

scholarly journals Validity and Reliability of Micro-controller based BIA Instrument for Assessment of Upper and Lower limb in Male Subjects at Multi-Frequency

2021 ◽  
Vol 23 (08) ◽  
pp. 762-770
Author(s):  
Charu Pawar ◽  
◽  
Munna Khan ◽  
J.P. saini ◽  
◽  
...  
Keyword(s):  
Lower Limb ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Validity And Reliability ◽  
Standard Device ◽  
Left Limb ◽  
The Right ◽  
Result Analysis ◽  
Male Subjects ◽  
Error Percentage

The purpose of this study was to validate the resultant data for assessment of upper and lower limb for male subjects, using developed microcontroller based bioelectrical impedance analysis (BIA) instrument with standard device (Microprocessor based 4 channel auto mode T.E.N.S unit) at multi-frequency. Twenty-two male subjects of age 21-45 years were taken under the examination. Data measured by developed BIA instrument is validated with data recorded by standard device. The recorded data represent that the measured data varies with frequencies. The frequencies used for the measurement were 5 KHz, 50 KHz, 100 KHz, 250 KHz, and 500 KHz. The results indicates that impedance of upper and lower limb change according to the frequency variations, and reduces with the increment of the different frequencies. A result also indicates that impedance of the left limb is greater than the impedance of the right limb. The results analysis of upper limb shows that error percentage between developed BIA instrument and standard device is less than 1.93Ω for left arm and less than 1.50Ω for the right arm at the same frequencies. The result analysis of lower limb shows that mean error percentage between both instruments, for left leg is less than 3.37Ω and less than 2.78Ω for right leg.

scholarly journals Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique

2021 ◽  
Vol 20 ◽  
Author(s):  
Miguel Alonso-Rojas Huillca ◽  
Milagros Moreno-Loaiza ◽  
Félix Tipacti-Rodríguez ◽  
Manolo Briceño-Alvarado ◽  
Wildor Samir Cubas Llalle
Keyword(s):  
Lower Limb ◽  
Perioperative Complications ◽  
Arterial Occlusion ◽  
Uncontrolled Hypertension ◽  
Dorsalis Pedis Artery ◽  
Endovascular Interventions ◽  
Endovascular Revascularization ◽  
Tibial Arteries ◽  
Cutaneous Ulcer ◽  
The Right

Abstract The SAFARI technique or Subintimal Arterial Flossing with Antegrade-Retrograde Intervention is an endovascular procedure that allows recanalization of Chronic Total Occlusive (CTO) lesions when conventional subintimal angioplasty is unsuccessful. Retrograde access is usually obtained through the popliteal, anterior tibial, dorsalis pedis artery, or posterior tibial arteries and may potentially provide more options for endovascular interventions in limb salvage. The case of an 81-year-old man with a history of uncontrolled hypertension, diabetes mellitus, and dyslipidemia is presented. He presented with a cutaneous ulcer on the right lower limb with torpid evolution and poor healing. The Doppler ultrasound and arteriographic study revealed a CTO lesion of the popliteal artery that was not a candidate for antegrade endovascular revascularization, but was successfully treated using the SAFARI technique. The patient had no perioperative complications, the wound showed better healing, and he was discharged with an indication of daily dressings and control by an external outpatient clinic.

scholarly journals Estimation of selected parameters in stabilographic image depending on physical activity level in children and adolescents

2020 ◽  
Vol 24 (2) ◽  
pp. 4-14
Author(s):  
Justyna Filipowicz-Ciepły ◽  
Joanna Golec ◽  
Eżbieta Szczygieł ◽  
Dorota Czechowska ◽  
Marta Cichoń ◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Lower Limb ◽  
Activity Level ◽  
Sports Activity ◽  
Sample Distribution ◽  
Body Balance ◽  
Left Limb ◽  
Additional Task ◽  
The Right

Introduction: Balance is an extremely important component of everyday human functioning. Assessment of body balance in children can be not only a diagnostic tool, but also information about the maturation of the balance system, diversity in terms of age and sex, as well as factors affecting balance and its development. In practice, maintaining body balance is a dynamic process, consisting in "continuous loss and regaining balance". According to scientific reports, in addition to age, psychosomatic status, the development of specific sensory-motor capabilities and strategies is also influenced by the type of sport. Objective: The aim of the study was to assess balance in a group of children and adolescents with different levels of sports activity. Material and methods: The study comprised 64 children and adolescents aged 10 to 13. The group was divided into: Group 1 (15 girls and 17 boys) regularly physically active, and Group 2 (17 girls and 15 boys) not undertaking any physical activity. All participants were assessed regarding postural stability using a CQStab2P stabilometric platform. Four tests were carried out for each participant: standing on both feet, on the left and right limb, and free standing with an additional task. The following parameters were analysed: SP (Sway Path) MA (Mean Amplitude) and MF (Mean Frequency). Results: In the majority of cases, the variables indicated statistically significant differences from normal distribution – except for MA-R (on the right lower limb) and MF-T (standing on both feet with additional task). In the case of the SP-L indicators (on the left lower limb), SP-B (standing on both feet), SP-T, MA-B and MA-T, the advantage of low results was observed in the examined sample (distribution accuracy) and clear concentration near the average (leptocurticity of distribution). In the case of the trial to stand on the right lower limb, training subjects obtained statistically significantly higher SP results than those non-training. During the standing test, the length of MA was recorded as statistically significantly lower than in other conditions. In addition, the SA index, when trying to stand on the right lower limb, was statistically significantly higher in relation to the length of the radius when standing on the left limb. Training participants had a higher average radius compared to those not training. Conclusions: Physical training positively affects the results of posturographic examination. Non-training girls have a statistically significantly lower level of SP compared to boys not training and training girls.

scholarly journals Lateralidad de miembro inferior y su relación con la distribución de las presiones plantares en el equilibrio estático (Laterality of lower limbs and relationship with the plantar pressure distribution in the static balance)

Retos ◽  
2015 ◽  
pp. 5-8
Author(s):  
Carmen Mayolas Pi ◽  
Adoración Villarroya Aparicio ◽  
Joaquín Reverter Masia
Keyword(s):  
Lower Limb ◽  
Dynamic Balance ◽  
Lower Limbs ◽  
Static Balance ◽  
Lateral Preference ◽  
Plantar Pressures ◽  
Left Limb ◽  
The Individual ◽  
The Right ◽  
Sole Of The Foot

La distribución de las cargas durante la marcha se ha valorado en muchos estudios, en algunos de los cuales se ha observado la influencia de la lateralidad del individuo en esta distribución. Sin embargo, en estático se han realizado pocos estudios que valoran las posibles causas de una distribución no equitativa de las cargas, algunos según la visión o no del espacio colindante y según la influencia de la lateralidad visual. En nuestro estudio vamos a observar si influye la preferencia lateral del miembro inferior en la distribución de la carga en la planta del pie, utilizando tres pruebas para valorar la dominancia lateral: chute con precisión, equilibrio dinámico y equilibrio estático (Maupas y cols., 2002). Según nuestros resultados, la preferencia lateral de miembro inferior no influye de forma significativa en la distribución de las cargas en la planta del pie, sin embargo, observamos una tendencia a que aumente la carga del miembro izquierdo en los diestros (según las pruebas de equilibrio dinámico y chute con precisión) y en el miembro derecho en los zurdos.Palabra clave: lateralidad, presiones plantares, equilibrio estático, test lateralidad.Abstract: The distribution of loads during gait has been evaluated in many studies, some of which have been seen to influence the handedness of the individual in this distribution. However, in the static pool, several studies have been carried out which assess the possible causes of inequitable distribution of the charges, some according to the vision or adjoining space and according to influence of visual laterality. In our study we will observe the influence of the lateral lower limb preference in the distribution of the load on the sole of the foot, using three tests to assess the lateral dominance: shoot with precision, dynamic balance and static balance (Maupas et al. 2002). According to our results, lower limb lateral preference does not influence significantly the distribution of charges in the sole of the foot, however, we observe a tendency to increase the load/weight on the left limb in righthanded people (according to tests of balance dynamic and precision shot) and on the right limb in left handed people.Key words: laterality, plantar pressures, static balance, laterality test.

scholarly journals An uncommon case of acute lower limb ischemia

2019 ◽  
Vol 13 (3) ◽  
pp. 185-186
Author(s):  
Maria Viviana Carlino ◽  
Paola Ieranò ◽  
Mario Venafro ◽  
Claudia Sara Cimmino ◽  
Costantino Mancusi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Lower Limb ◽  
Plaque Rupture ◽  
Abdominal Mass ◽  
Signs And Symptoms ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Computed Tomographic ◽  
Lower Limb Pain ◽  
The Impact

We describe a case of a 76-year-old woman who presented to the Emergency Department with right lower limb pain after a fall. One hour after the admission to the Emergency Department, the patient presented all the signs and symptoms of acute limb ischemia. The patient underwent contrast-enhanced computed tomographic scan of abdomen and right lower limb that showed a large abdominal lesion suggestive of ovarian cancer compressing the right common iliac artery and a visible thrombus and ruptured plaque in this artery. We hypothesized that the acute limb ischemia caused by thrombosis in situ arose from acute plaque rupture probably due to the impact of the large abdominal mass on the artery during patient’s fall.

scholarly journals Acute arterial occlusion of the lower limb as the main clinical manifestation in a patient with Covid-19 – Case Report

2020 ◽  
Vol 77 ◽  
pp. 454-458
Author(s):  
Víctor de Oliveira Costa ◽  
Guilherme Bicalho Civinelli de Almeida ◽  
Eveline Montessi Nicolini ◽  
Guilherme de Abreu Rodrigues ◽  
Bruna Malaquias Arguelles da Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Manifestation ◽  
Lower Limb ◽  
Arterial Occlusion ◽  
Acute Arterial Occlusion ◽  
Main Clinical Manifestation

scholarly journals POTENTIALS OF NUTRITIONAL FOLLOW-UP IN A DIABETIC PATIENT HOSPITALIZED WITH ULCERATION TABLE IN PLANT REGION

2021 ◽  
pp. 16
Author(s):  
◽  
Keyword(s):  
Lower Limb ◽  
Protein Supplementation ◽  
Nutritional Risk ◽  
Nutritional Deficiencies ◽  
Limb Amputation ◽  
Diabetic Patients ◽  
Plantar Region ◽  
Nutritional Monitoring ◽  
The Right ◽  
The Impact

Introduction: Approximately 15% of diabetic individuals are affected with foot ulceration, one of the main causes of lower limb amputation. The percentage of diabetic survival after amputation of a lower limb (MI) is 50% three years after the surgical procedure and the mortality rate varies between 39% to 68% after five years. The impact on the quality of life of diabetic people is high, not only economically, the feelings involved contribute to a negative prognosis. Therefore, adequate metabolic and nutritional control, as well as periodic assessment of immunity and comorbidities, should be part of the therapeutic routine of diabetic patients. Experience report: The work in question refers to the nutritional approach performed on a 71-year-old female patient admitted to the hospital with an ulcer in the right plantar region. In anthropometry, the nutritional status indicators indicated eutrophy with nutritional risk. The biochemical evaluation identified anemic condition and sepsis. Physical evaluation showed the presence of edema in the right and left MI. Glycemic and blood pressure levels were monitored daily. A hypercaloric and hyperprotein diet was prescribed, plus protein supplementation with specific immunomodulators for special metabolic situations that prevent energy-protein malnutrition, in addition to the adequacy of vitamins and minerals, in order to avoid nutritional deficiencies arising from the drug-nutrient interaction. Nutritional monitoring lasted 13 days. Ulceration regressed from the entire plantar region, only to the right hallux, which was amputated. Final considerations: There was an improvement in nutritional and biochemical parameters until hospital discharge.

Sign in / Sign up

Export Citation Format

Share Document