Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink?
The Society of Vascular Surgery and the International Society of Cardiovascular Surgery identify three types of acute limb ischaemia to inform prognosis and management. Type 1 limb ischaemia is non-limb-threatening and is currently managed conservatively. We describe three cases of Type 1 limb ischa...
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| Format: | Article |
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Wiley
2016-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/8146295 |
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| author | Syed M. Asim Hussain Thomas Joseph |
| author_facet | Syed M. Asim Hussain Thomas Joseph |
| author_sort | Syed M. Asim Hussain |
| collection | DOAJ |
| description | The Society of Vascular Surgery and the International Society of Cardiovascular Surgery identify three types of acute limb ischaemia to inform prognosis and management. Type 1 limb ischaemia is non-limb-threatening and is currently managed conservatively. We describe three cases of Type 1 limb ischaemia with femoropopliteal occlusion that were managed differently. The first case was initially managed conservatively but resulted in an adverse outcome following worsening of ischaemia. Overall, the cases managed with earlier intervention had good outcomes suggesting that conservative management alone may not be sufficient despite resolution of symptoms. The trend in other vessel diseases such as NSTEMI and TIA is towards earlier intervention, for example, PCI and CEA. It is likely that acute limb ischaemia has a similar natural history to these conditions. It is time to consider earlier revascularisation in selected patients with non-limb-threatening ischaemia. |
| format | Article |
| id | doaj-art-8768a2e087e54c41981616ee2a289f2c |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-8768a2e087e54c41981616ee2a289f2c2025-02-03T05:48:29ZengWileyCase Reports in Vascular Medicine2090-69862090-69942016-01-01201610.1155/2016/81462958146295Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink?Syed M. Asim Hussain0Thomas Joseph1North Cumbria University Hospitals NHS Trust, Cumberland Infirmary, Newtown Road, Carlisle, UKNorth Cumbria University Hospitals NHS Trust, Cumberland Infirmary, Newtown Road, Carlisle, UKThe Society of Vascular Surgery and the International Society of Cardiovascular Surgery identify three types of acute limb ischaemia to inform prognosis and management. Type 1 limb ischaemia is non-limb-threatening and is currently managed conservatively. We describe three cases of Type 1 limb ischaemia with femoropopliteal occlusion that were managed differently. The first case was initially managed conservatively but resulted in an adverse outcome following worsening of ischaemia. Overall, the cases managed with earlier intervention had good outcomes suggesting that conservative management alone may not be sufficient despite resolution of symptoms. The trend in other vessel diseases such as NSTEMI and TIA is towards earlier intervention, for example, PCI and CEA. It is likely that acute limb ischaemia has a similar natural history to these conditions. It is time to consider earlier revascularisation in selected patients with non-limb-threatening ischaemia.http://dx.doi.org/10.1155/2016/8146295 |
| spellingShingle | Syed M. Asim Hussain Thomas Joseph Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink? Case Reports in Vascular Medicine |
| title | Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink? |
| title_full | Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink? |
| title_fullStr | Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink? |
| title_full_unstemmed | Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink? |
| title_short | Management Strategy in Non-Limb-Threatening Acute Ischaemia of Limbs: Should We Rethink? |
| title_sort | management strategy in non limb threatening acute ischaemia of limbs should we rethink |
| url | http://dx.doi.org/10.1155/2016/8146295 |
| work_keys_str_mv | AT syedmasimhussain managementstrategyinnonlimbthreateningacuteischaemiaoflimbsshouldwerethink AT thomasjoseph managementstrategyinnonlimbthreateningacuteischaemiaoflimbsshouldwerethink |