Please enable JavaScript.
Coggle requires JavaScript to display documents.
Acute limb ischemia - Coggle Diagram
Acute limb ischemia
Acute embolic ischemia
Sources
Non-cardiac
Cardiac 80-90%
Endocarditis
Myocardial infarction
AF
commonest
Less common causes
Site of impaction
Femoral bifurcation 40%
Popliteal bifurcation
Brachial bifurcation
Aortic bifurcation
Common carotid bifurcation
Def.
Clinical features
6 Ps
3 signs
3 symptomes
NBs
Clinical consequences
Volkmann's ischemic contracture
Ch. ischemia
Gangrene
Complete recovery
DD
Acute thrombotic ischemia
Pathological consequences
2ry venous thrombosis
Compartment syndrome
2ry arterial thrombosis
Systemic & metabolic sequels
TTT
Embolectomy
9
General (H&H)
1ry amputation
( if irreversible ischemia )
Investigations
Imaging
Duplex
Echo
Arteriography
Lab.
Raised Hb, BUN & creatinine
Acidosis , raied CK & WBCs
Etiology
Traumatic
Acute external compression
Thrombotic
Acute aortic dissection
Embolic
Phlegmasia
Arterial trauma
CP
Soft signs
Hard signs
No arterial injury signs
Investigations
X-ray
ABI
Lab.
Vascular imaging
Pathological types
Immediate presentation
Intimal flap
Arterial division
Partial
Complete
Arterial spasm
Arterial contusion
(commonest)
Delayed consequences
Pseudoaneurysm
Arteriovenous fistula
TTT
Stabilize the pt.
Definitive ttt
Control of bleeding
Complications managment
etiology
Blunt
Iatrogenic
Penetrating
Intaarterial drug injection
Acute thrombotic ischemia
Acute thrombotic ischemia conditions
On top of ch. occlusive arterial dis.
As a complication of arterial aneurysm
As a complications of febrile illness
TTT
If no immediate threat
Salvageable threatened limb
(Rutherford ll A)
Angiography then
CDT or PMT or both
DT thechnique
Complications
Thrombolytic agents
Immediately threatened limb
(Rutherford llB)
Potentially unsalvageable
(Rutherford lll)
Virchow's triad
Viscosity
Velocity
Vessel wall
Acute compartment syndrome