Protocolo diagnóstico y terapéutico de la enfermedad arterial aguda

  1. Lozano Sánchez, F.S. 1
  2. C. Rubio Taboada 1
  3. Velasco Hernández, P. 1
  4. Valverde García, S. 1
  1. 1 Servicio de Angiología y Cirugía Vascular, Hospital Universitario de Salamanca, Salamanca, España Departamento de Cirugía, Universidad de Salamanca, Salamanca, España
Revue:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Année de publication: 2021

Titre de la publication: Enfermedades cardiovasculares (V)

Serie: 13

Número: 39

Pages: 2270-2274

Type: Article

DOI: 10.1016/J.MED.2021.08.003 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado

Résumé

Acute limb ischaemia is a multidisciplinary emergency because, within a few hours, the limb and even the patient's life may be in danger. This syndrome is characterised by a sudden decrease in limb blood perfusion. Embolism and arterial thrombosis are the main aetiologies. Immediate diagnosis, accurate assessment and urgent intervention are crucial to save the limb. A syndromic diagnosis (5p) requires the administration of heparin (prevents secondary thrombosis) and immediate evacuation of the patient. A clinical (Rutherford classification), aetiological (embolism or thrombosis) and topographical (imaging tests) diagnosis will determine treatment in the specialist centre. Fogarty probe embolectomy is effective for embolisms. An endovascular approach should be considered for thrombosis, especially in patients at risk (age, comorbidity, etc.). Mortality and amputations are still relatively high, especially in the event of diagnostic and/or therapeutic delay. There is room for improvement.

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