Abstract

NUNEZ-ROJAS, Gian; LOZADA-MARTINEZ, Iván; BOLANO-ROMERO, María  and  RAMIREZ-BARAKAT, Efraín. Acute arterial limb ischemia: ¿How to approach it?. rev. colomb. cir. [online]. 2020, vol.35, n.1, pp.100-107. ISSN 2011-7582.  https://doi.org/10.30944/20117582.593.

Acute arterial ischemia of the extremities is defined as the abrupt interruption of blood flow to certain tissue which affects the integrity and/or viability of the limb. The causes are multiple and can be summarized in two pathophysiological processes, thrombotic or embolic, with which the prognosis and management can be established depending on the cause. The syndromic picture is variable, typically identified with the Pratt’s five “P” (pain, pallor, pulselessness, paralysis and paresthesia); there is an arsenal of diagnostic tools but arteriography remains the gold standard for diagnosis. With the advent of technological advances and vascular procedures, limb salvage has been increasing with a decrease in the extent of amputations represented by a higher rate of rehabilitation and reincorporation into social life.

Keywords : ischemia; embolism and thrombosis; extremities; reperfusion injury; endovascular procedures..

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