Trần Thanh Huyền Lee Tâm Vân CONTENT: I.DEFINITION II.SIGNS AND SYMPTOMS III.PARACLINICAL IV.TREATMENT & MANAGEMENT CONTENT: I.DEFINITION II.SIGNS AND SYMPTOMS III.PARACLINICAL IV.TREATMENT & MANAGEMENT I. DEFINITION: Acute limb ischemia is defined as a sudden loss of limb perfusion for up to two weeks after the initiating event. I. DEFINITION: Normal Artery
Acute arterial occlusion is
synonymous with acute limb ischemia and is considered a vascular emergency, which occurs in any peripheral artery of the upper and lower extremities. Artery narrowed - Pallor II. SIGNS AND - Pain - Paresthesia SYMPTOMS - Paralysis involves the "six Ps" - Pulselessness - Poikilothermia II. SIGNS AND SYMPTOMS - Pain is often localized and less severe when the limb is in the dependent position. - Ischemia prolongs, paresthesia replaces pain, and the final stages of injury cause paralysis. - Embolic occlusion tend to have an abrupt onset with more severe symptoms 1. Doppler ultrasound 2. Duplex imaging III. Paraclinical 3. Angiography/ DSA 4. CXR, ECG 5. Angioscopy Treatment Restore blood flow to your limb
Save your limb
Prevent more blood clots from forming
Catheter directed thrombolysis Endarterectomy Peripheral bypass surgery Thrombectomy THANK YOU