Vasc Spec Int.  2019 Mar;35(1):4-9. 10.5758/vsi.2019.35.1.4.

Endovascular Strategies in the Management of Acute Limb Ischemia

• Lind B
• Morcos O
• Ferral H
• Chen A
• Aquisto T
• Lee S
• Lee CJ

• KMID: 2448808
• DOI: http://doi.org/10.5758/vsi.2019.35.1.4

Abstract

Acute limb ischemia (ALI) represents one of the most common emergent scenarios encountered by a vascular specialist. Despite expedient revascularization, high rates of limb loss are reported along with high mortality rates which are second only to ruptured abdominal aortic aneurysms. Surgical revascularization is standard of care. Endovascular techniques as an alternative have emerged to be appropriate first line therapy when addressing the threatened limb. We review the etiology and classification of ALI and current endovascular techniques and evidence to date in the management of patients acutely presenting with extremity ischemia.

Keyword

Peripheral artery disease; Embolism and thrombosis; Endovascular procedures

MeSH Terms

Aortic Aneurysm, Abdominal
Classification
Embolism and Thrombosis
Endovascular Procedures
Extremities*
Humans
Ischemia*
Mortality
Peripheral Arterial Disease
Specialization
Standard of Care