Semin intervent Radiol 2018; 35(05): 453-460
DOI: 10.1055/s-0038-1676321
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Limb Ischemia Therapies: When and How to Treat Endovascularly

Anthony N. Hage*
1   Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania
,
Joseph L. McDevitt*
2   Department of Radiology, University of Texas-Southwestern Medical Center, Dallas, Texas
,
Jeffrey Forris Beecham Chick
3   Department of Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, Alexandria, Virginia
,
Venu Vadlamudi
3   Department of Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, Alexandria, Virginia
› Author Affiliations
Further Information

Publication History

Publication Date:
05 February 2019 (online)

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Abstract

Acute limb ischemia is an emergent limb and life-threatening condition with high morbidity and mortality. An understanding of the presentation, clinical evaluation, and initial workup, including noninvasive imaging evaluation, is critical to determine an appropriate management strategy. Modern series have shown endovascular revascularization for acute limb ischemia to be safe and effective with success rates approaching surgical series and with similar, or even decreased, perioperative morbidity and mortality. A thorough understanding of endovascular techniques, associated pharmacology, and perioperative care is paramount to the endovascular management of patients presenting with acute limb ischemia. This article discusses the diagnosis and strategies for endovascular treatment of acute limb ischemia.

* Drs. Hage and McDevitt contributed equally and share first authorship for this manuscript.