Korean Circ J.  1996 Feb;26(1):155-160. 10.4070/kcj.1996.26.1.155.

Acute Arterial Occlusion of the Left Lower Extremity during Prolonged Fasting

• Rhee BH
• Yoo WH
• In BH
• Kim WH
• Ko JK

• KMID: 2093576
• DOI: http://doi.org/10.4070/kcj.1996.26.1.155

Abstract

Acute arterial occlusion of the extremity may result from obstruction of an artery by embolism or by thrombosis in situ. This results in the sudden cessation of blood flow to an extremity. So immediate managements are required to prevent propagation of the clot and to restore blood flow to the ischemic extremity promptly. We report a case of a acute arterial occlusion which was developed during prolonged fasting. A 59-year-old male was transferred due to severe ischemic pain, coldness and loss of pulse in left lower extremity during fast. The arteriogram shows a complete obstruction of external iliac artery and non-visualization of femoral artery and popliteotibial artery in the left lower extremity. Selective intra-arterial urokinase thrombolytic therapy and percutaneous transluminal angioplasty resulted in recannulation of obstructed artery and relief of symptoms.

Keyword

Acute arterial occlusion; Fasting; Intra-arterial thrombolysis

MeSH Terms

Angioplasty
Arteries
Embolism
Extremities
Fasting*
Femoral Artery
Humans
Iliac Artery
Lower Extremity*
Male
Middle Aged
Thrombolytic Therapy
Thrombosis
Urokinase-Type Plasminogen Activator
Urokinase-Type Plasminogen Activator