Novel approach in using ultrasound in treating acute limb ischemia
| العنوان: | Novel approach in using ultrasound in treating acute limb ischemia |
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| المؤلفون: | Alejandro Mendez-Castillo, Michael H. Wholey, Lori C. Pounds, Raul G Palacios |
| المصدر: | The Journal of Cardiovascular Surgery. 59 |
| بيانات النشر: | Edizioni Minerva Medica, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Time Factors, medicine.medical_treatment, Ischemia, Punctures, Femoral artery, 030204 cardiovascular system & hematology, Peripheral Arterial Disease, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, medicine.artery, Occlusion, medicine, Humans, Vascular Patency, Thrombolytic Therapy, 030212 general & internal medicine, Ultrasonography, Interventional, Aged, medicine.diagnostic_test, business.industry, Ultrasound, Graft Occlusion, Vascular, Angiography, Digital Subtraction, General Medicine, Thrombolysis, Middle Aged, medicine.disease, Surgery, Femoral Artery, Treatment Outcome, medicine.anatomical_structure, Lower Extremity, Regional Blood Flow, Angiography, Female, Cardiology and Cardiovascular Medicine, business, Artery |
| الوصف: | Background It is imperative to gain safe access into the occluded targeted vessel and begin treating acute extremity limb ischemia. Often the origin of the targeted native artery or bypass graft will have a flush occlusion making it difficult to cannulate. This paper looks at the novel use of portable ultrasound to evaluate the origin of the artery or bypass graft to help facilitate the start of thrombolysis. Methods We reviewed our last 2 years of acute limb ischemia in our patients with high risk factors and comorbidities. We reviewed the use of ultrasound in these cases from the initial use of gaining femoral access to real time ultrasound and fluoroscopic guidance into the targeted native artery or bypass graft to begin needed thrombolysis. Results We had 26 acute limb ischemia in 10 patients with native arterial circulation and in 16 patients with either saphenous or prosthetic bypass grafts. Ultrasound was used in gaining safe access with no complications in 22 contralateral and 2 antegrade femoral and 4 direct-graft accesses. Ultrasound was used in 6 of these cases to help gain access in the occluded graft (4 cases) and saphenous veins (2 cases). It was successful in all cases but one case which had bleeding. Conclusions Ultrasound is increasing in its application including acute limb ischemia with flush occlusions of native arteries and bypass grafts. |
| تدمد: | 1827-191X 0021-9509 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3764800d358b8963e501a13a9515147fTest https://doi.org/10.23736/s0021-9509.17.09938-4Test |
| رقم الانضمام: | edsair.doi.dedup.....3764800d358b8963e501a13a9515147f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1827191X 00219509 |
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