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Differential management of acute peripheral arterial ischemia

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Presentation on theme: "Differential management of acute peripheral arterial ischemia"— Presentation transcript:

1 Differential management of acute peripheral arterial ischemia
W.Andrew Dale, M.D.  Journal of Vascular Surgery  Volume 1, Issue 2, Pages (March 1984) DOI: / (84) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Catherer injection through right femoral approach demonstrated left iliac bifurcation embolism with distal fragmentation and occlusion of left iliac-femoral arterial system. Left transfemoral Fogarty catheter removal was successful. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 A, Severe ischemia of foot accompanied by an easily palpable popliteal pulse was explained by preoperative arteriogram, which showed embolization of both tibioperoneal trunk and anterior tibial artery well below bifurcation. B, Emboli were removed from both vessels by passing a Fogarty catheter through a popliteal arteriotomy just above its bifurcation with return of both pulses. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 Atrial fibrillation with popliteal embolism was diagnosis at time of admission. It was changed to thrombosed popliteal aneurysm at operation. A bypass vein graft revascularized foot. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 Popliteal embolism occurred while lower limb was in balanced traction for a femoral fracture. Successful 10-day heparinization salvaged extremity without operation. Journal of Vascular Surgery 1984 1, DOI: ( / (84) ) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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