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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Main Authors: Syed M. Asim Hussain, Thomas Joseph
Format: Article
Language:English
Published: Wiley 2016-01-01
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.
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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
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