Kosin Med J.  2016 Jun;31(1):56-65. 10.7180/kmj.2016.31.1.56.

Endovascular treatment of acute limb ischemia due to thrombotic occlusion of the suprainguinal artery

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju-si, Gyeongsangbuk-do, Korea. junhodr@naver.com

Abstract

Acute limb ischemia (ALI) is a serious condition requiring prompt intervention due to a sudden decrease in limb perfusion threatening limb viability. Treatment of ALI depends on the clinical status of the affected limb and patient comorbidities. Surgical therapy has been the historical standard of care for restoring limb perfusion; however, percutaneous endovascular intervention has been shown to be a promising treatment option in selected patients of ALI at high surgical risk. We report on a case of a 75-year-old man with ALI caused by thrombotic occlusion of the suprainguinal artery, successfully treated with endovascular therapy including stent insertion and thrombus aspiration and catheter-directed urokinase infusion in view of the clinical findings and imaging studies.

Keyword

Endovascular procedures; Ischemia; Lower extremity; Thrombolytic therapy

MeSH Terms

Aged
Arteries*
Comorbidity
Endovascular Procedures
Extremities*
Humans
Ischemia*
Lower Extremity
Perfusion
Standard of Care
Stents
Thrombolytic Therapy
Thrombosis
Urokinase-Type Plasminogen Activator
Urokinase-Type Plasminogen Activator
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