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Endovascular Treatment Options of Acute Limb Ischemia

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DOI: 10.4236/ijmpcero.2013.21006    4,916 Downloads   10,023 Views   Citations

ABSTRACT

Acute limb ischemia is a urgent condition which occurs when there is an abrupt interruption of blood flow into an extremity usually because of either embolic or thrombotic vascular occlusion. Restoration of perfusion through early intervention can decrease amputation and mortality. Contemporary treatment includes both surgery and endovascular techniques. There is a rapid progress in endovascular intervention therapy. This article aims to make a comprehensive review of the endovascular intervention options of acute limb ischemia.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

D. Zhang, W. Lou, G. Chen, X. Yin and J. Gu, "Endovascular Treatment Options of Acute Limb Ischemia," International Journal of Medical Physics, Clinical Engineering and Radiation Oncology, Vol. 2 No. 1, 2013, pp. 39-43. doi: 10.4236/ijmpcero.2013.21006.

References

[1] J. L. ELiason, R. M. Wainess, M. C. Proctor, J. B. Dimick, J. A. Cowan Jr., et al., “A National and Single Institutional Experience in the Contemporary Treatment of Acute Lower Extremity Ischemia,” Annals of Surgery, Vol. 238, No. 3, 2003, pp. 382-390.
[2] C. Kyriakides, W. G. Austen Jr., Y. Wang, J. Favuzza, F. D. Moore Jr., et al., “Neutrophil Mediated Remote Organ Injury after Lower Torso Ischemia and Reperfusion Is Selectin and Complement Dependent,” The Journal of Trauma, Vol. 48, No. 1, 2000, pp. 32-38. doi:10.1097/00005373-200001000-00006
[3] M. Dvorak, M. Vlasin, M. Dvorakova, P. Rauser and L. Lexmaulova, “Heparin and Its Derivatives in the Treatment of Arterial Thrombosis: A Review,” Veterinarni Medicina, Vol. 55, No. 11, 2010, pp. 523-546.
[4] V. S. Kashyap, R. Gilani, J. F. Bena, M. Bannazadeh and T. P. Sarac, “Endovascular Therapy for Acute Limb Ischemia,” Journal of Vascular Surgery, Vol. 53, No. 2, 2011, pp. 340-346. doi:10.1016/j.jvs.2010.08.064
[5] Z. Mitrev, F. Beyersdorf, R. Hallmann, Y. Poloczek, K. Ihnken, et al., “Reperfusion Injury in Skeletal Muscle: Controlled Limb Reperfusion Reduces Local and Systemic Complications after Prolonged Ischaemia,” Cardiovascular Surgery, Vol. 2, No. 6, 1994, pp. 737-748.
[6] K. Kasirajan, F. P. Beavers, D. G. Clair, D. G. Clair, R. Greenberg, et al., “Rheolytic Thrombectomy in the Management of Acute and Subacute Limb Threatening Ischemia,” Journal of Vascular and Interventional Radiology, Vol. 12, No. 4, 2001, pp. 413-420. doi:10.1016/S1051-0443(07)61878-8
[7] R. B. Rutherford, J. D. Bake, C. Ernst, et al., Recommended Standards for Reports Dealing with Lower Extremity Ischemia: Revised Version,” Journal of Vascular Surgery, Vol. 26, No. 3, 1997, pp. 517-538. doi:10.1016/S0741-5214(97)70045-4
[8] R. B. Rutherford, “Clinical Staging of Acute Limb Ischemia As the Basis for Choice of Revascularization Method: When and How to Intervene,” Seminars in Vascular Surgery, Vol. 22, No. 1, 2009, pp. 5-9. doi:10.1053/j.semvascsurg.2008.12.003
[9] K. Ouriel and F. J. Veith, “Acute Lower Limb Isehemia: Determinants of Outcome,” Surgery, Vol. 124, No. 4, 1998, pp. 336-342. doi:10.1016/S0039-6060(98)70139-4
[10] K. Ouriel, C. K. Shortell, J. A. DeWeese, et al., “A comparison of Thrombolytic Therapy with Operative Revascularization in the Initial Treatment of Acute Peripheral Arterial Ischemia,” Journal of Vascular Surgery, Vol. 19, No. 6, 1994, pp. 1021-1030. doi:10.1016/S0741-5214(94)70214-4
[11] K. Ouriel, F. J. Veith and A. A. Sasahara, “A comparison of Recombinant Urokinase with Vascular Surgery as Initial Treatment for Acute Arterial Occlusion of the Legs. Thrombolysis or Peripheral Arterial Surgery (TOPAS) Investigators,” The New England Journal of Medicine Vol. 338, No. 16, 1998, pp. 1105-1111. doi:10.1056/NEJM199804163381603
[12] The STILE Investigators, “Results of a Prospective Randomized Trial Evaluating Surgery versus Thrombolysis for Ischemia of the Lower Extremity. The STILE Trial: The STILE Investigators (Appendix A),” Annals of Surgery, Vol. 220, No. 3, 1994, pp. 251-268. doi:10.1097/00000658-199409000-00003
[13] A. S. Ward, S. K. Andaz and S. Bygrave, “Thrombolysis with Tissue—Plasminogen Activator: Results with a HighDose Transthrombus Technique,” Journal of Vascular Surgery, Vol. 19, No. 3, 1994, pp. 503-508. doi:10.1016/S0741-5214(94)70078-8
[14] K. Kasirajan, F. P. Beavers, D. G. Clair, R. Greenberg, et al., “Rheolytic Thrombectomy in the Management of Acute and Subacute Limb Threatening Ischemia,” Journal of Vascular and Interventional Radiology, Vol. 12, No. 4, 2001, pp. 413-420. doi:10.1016/S1051-0443(07)61878-8
[15] G. M. Ansel, C. F. Botti and M. J. Silver, “Treatment of Acute Limb Ischemia with a Percutaneous Mechanical Thrombectomy-Based Endovascular Approach: 5-Year Limb Salvage and Survival Results from a Single Center Series,” Catheterization and Cardiovascular Interventions, Vol. 72, No. 3, 2008, pp. 325-330. doi:10.1002/ccd.21641
[16] L. Oguzkurt, U. Ozkan, B. Gumus, I. Co?kun, N. Koca, et al., “Percutaneous Aspiration Thrombectomy in the Treatment of Lower Extremity Thromboembolic Occlusions,” Diagnostic and Interventional Radiology Diagnostic, Vol. 16, No. 1, 2010, pp. 79-83.
[17] R. Gupta and T. A. Hennebry, “Percutaneous Isolated Pharmaco-Mechanical Thrombolysis-Thrombectomy System for the Management of Acute Arterial Limb Ischemia: 30-Day Results from a Single-Center Experience,” Catheterization and Cardiovascular Interventions, Vol. 80, No. 4, 2012, pp. 636-643. doi:10.1002/ccd.24283
[18] C. Kim, W. Jeon, T. Shin, D. Choi, J. Kim, et al., “StentAssisted Recanalisation of Acute Occlusive Arteries in Patients with Acute Limb Ischaemia,” European Journal of Vascular and Endovascular Surgery, Vol. 39, No. 1, 2010, pp. 89-96. doi:10.1016/j.ejvs.2009.09.023
[19] G. Plate, I. Jansson, C. Forssell, P. Weber and S. Oredsson, “Thrombolysis for Acute Lower Limb Ischaemia—A Prospective, Randomised, Multicentre Study Comparing Two Strategies,” European Journal of Vascular and Endovascular Surgery, Vol. 31, No. 6, 2006, pp. 651-660. doi:10.1016/j.ejvs.2005.11.017
[20] J. Raja, G. Munneke, R. Morgan and A. M. Belli, “Stenting in Acute Lower Limb Arterial Occlusions,” Cardiovascular and Interventional Radiology, Vol. 31, No. S2, 2008, pp. S41-S44. doi:10.1007/s00270-007-9052-3
[21] S. Yilmaz, T. Sindel and E. Lüleci, “Primary Stenting of Embolic Occlusions in Iliac Arteries,” Journal of Endovascular Therapy, Vol. 10, No. 3, 2003, pp. 629-635. doi:10.1583/1545-1550(2003)010<0629:PSOEOI>2.0.CO;2
[22] V. Berczi, S. M. Thomas, D. R. Turner, J. R. Bottomley, T. J. Cleveland, et al., “Stent Implantation for Acute Iliac Artery Occlusions: Initial Experience,” Journal of Vascular and Interventional Radiology , Vol. 17, No. 4, 2006, pp. 645-649. doi:10.1097/01.RVI.0000203918.91835.73
[23] C. W. K?nig, B. Pusich, G. Tepe, H. P. Wendel, U. Hahn, et al., “Frequent Embolization in Peripheral Angioplasty: Detection with an Embolism Protection Device (Angioguard) and Electron Microscopy,” Cardiovascular and Interventional Radiology, Vol. 26, No. 4, 2003, pp. 334349. doi:10.1007/s00270-003-2656-3
[24] D. Siablis, D. Karnabatidis, K. Katsanos, P. Ravazoula, P. Kraniotis, et al., “Outflow Protection Filters During Percutaneous Recanalization of Lower Extremities’ Arterialocclusions: A Pilot Study,” European Journal of Radiology, Vol. 55, No. 2, 2005, pp. 243-249. doi:10.1016/j.ejrad.2004.07.010
[25] N. W. Shammas, E. J. Dippel, D. Coiner, G. A. Shammas, M. Jerin, et al., “Preventing Lower Extremity Distal Embolization Using Embolic Filter Protection: Results of the PROTECT Registry,” Journal of Endovascular Therapy, Vol. 15, No. 3, 2008, pp. 270-276. doi:10.1583/08-2397.1

  
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