Ultrasound evaluation of the patient with acute arterial ischemia

Authors

  • Jorge Casas Cardiology, Internal Medicine and non-invasive cardiovascular imaging. CEDIC Institute. Bahía Blanca. Argentina https://orcid.org/0000-0001-7038-8037
  • Mariana Cormeilli Cardiology and cardiovascular imaging. Cardiovascular Institute of Buenos Aires. Argentina
  • Gabriel Perea Cardiology and cardiovascular imaging. Cardiovascular Institute of Buenos Aires. Argentina https://orcid.org/0009-0006-5864-8741

DOI:

https://doi.org/10.37615/retic.v7n1a16

Keywords:

acute arterial ischemia, vascular ultrasound

Abstract

Complete cardiovascular care must cover not only strictly cardiac pathology but also vascular-arterial pathology, which can sometimes involve greater risk than coronary artery disease. Acute arterial ischemia has high early morbidity and mortality. It is essential to instruct health professionals for urgent diagnosis and treatment and thus reverse the adverse prognosis mentioned above. In case of clinical suspicion, vascular ultrasound is key to confirm diagnosis, define viability or not of the limb and the need for urgent treatment. This information will result in the indication of urgent revascularization or even amputation of the limb. In this work we will address the key points for an adequate clinical and ultrasonographic assessment of these patients.

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References

Hirsch AT, Haskal ZJ, Hertzer NR, ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic). Circulation. 2006 Mar 21;113(11):e463- 654. doi: https://doi.org/10.1161/CIRCULATIONAHA.106.174526 DOI: https://doi.org/10.1161/CIRCULATIONAHA.106.173994

Davies B, Braithwaite BD, Birch PA, Poskitt KR, Heather BP, Earnshaw JJ. Acute leg ischaemia in Gloucestershire. British Journal of Surgery. 1 de abril de 1997;84(4):504-8, doi: https://doi.org/10.1046/j.1365-2168.1997.02601.x DOI: https://doi.org/10.1002/bjs.1800840419

Hertzer NR, Beven EG, Young JR, O’hara PJ, Ruschhaupt WFI, Graor RA, et al. Coronary artery disease in peripheral vascular patients. A classification of 1000 coronary angiograms and results of surgical management. Ann Surg. 1984 Feb;199(2):223-33. doi: https://doi.org/10.1097/00000658- 198402000-00016 DOI: https://doi.org/10.1097/00000658-198402000-00016

Bluro Ignacio M. Consenso de enfermedad vascular periférica: Versión resumida. Rev. argent. cardiol. 2015; 83(5):461-486. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1850- 37482015000500021&lng=es. DOI: https://doi.org/10.7775/rac.es.v83.i5.6400

Núñez-Rojas, G, Lozada-Martinez, ID, Bolaño-Romero, MP, Ramírez-Barakat, E. Isquemia Arterial Aguda De Las Extremidades: ¿cómo abordarla? Rev Colomb Cir 2020, 35, 100-107. doi: https://doi.org/10.30944/20117582.593 DOI: https://doi.org/10.30944/20117582.593

Eliason JL, Wainess RM, Proctor MC, Dimick JB, Cowan JA Jr, Upchurch GR Jr, Stanley JC, Henke PK. A national and single institutional experience in the contemporary treatment of acute lower extremity ischemia. Ann Surg. 2003 Sep;238(3):382-9; discussion 389-90. doi: https://doi.org/10.1097/01. sla.0000086663.49670.d1 DOI: https://doi.org/10.1097/01.sla.0000086663.49670.d1

Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, Jones DN. Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg. 1997 Sep;26(3):517-38. doi: https://doi.org/10.1016/ s0741-5214(97)70045-4 DOI: https://doi.org/10.1016/S0741-5214(97)70045-4

Perea G, Corneli M, Glenny P, Barrangu S, Izaguirre A, Elissamburu P, et al. Consenso de Ecografía Doppler Vascular. Sociedad Argentina de Cardiología. Rev Argent Cardiol 2020;88:D Suplementeo 4. Disponible en: https://www.sac.

org.ar/wp-content/uploads/2020/11/consenso-88-4.pdf

Aboyans V, Ricco JB, Bartelink MLEL, Björck M, Brodmann M, Cohnert T, et al. Guía ESC 2017 sobre el diagnóstico y tratamiento de la enfermedad arterial periférica, desarrollada en colaboración con la European Society for Vascular Surgery (ESVS). Revista Española de Cardiología. 1 de febrero de 2018;71(2):111.e1-111.e69. doi: https://doi.org/10.1016/j.recesp.2017.12.015 DOI: https://doi.org/10.1016/j.recesp.2017.12.015

Gerhard-Herman MD, Gornik HL, Barrett C, et al. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017 Mar 21;135(12):e686-e725. doi: https://doi.org/10.1161/ CIR.0000000000000470 DOI: https://doi.org/10.1161/CIR.0000000000000501

Published

2024-04-24

How to Cite

1.
Casas J, Cormeilli M, Perea G. Ultrasound evaluation of the patient with acute arterial ischemia. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2024 Apr. 24 [cited 2024 Nov. 22];7(1):62-5. Available from: https://imagenretic.org/RevEcocarPract/article/view/662

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