Advertisement

What Is the Best Treatment for Acute Limb Ischemia?

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Advances in Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Gilliland C.
        • Shah J.
        • Martin J.G.
        • et al.
        Acute limb ischemia.
        Tech Vasc Interv Radiol. 2017; 20: 274-280
        • Baril D.T.
        • Ghosh K.
        • Rosen A.B.
        Trends in the incidence, treatment, and outcomes of acute lower extremity ischemia in the United States Medicare population.
        J Vasc Surg. 2014; 60: 669-677.e2
        • Wang J.C.
        • Kim A.H.
        • Kashyap V.S.
        Open surgical or endovascular revascularization for acute limb ischemia.
        J Vasc Surg. 2016; 63: 270-278
        • Eyers P.
        • Earnshaw J.J.
        Acute non-traumatic arm ischaemia.
        Br J Surg. 1998; 85: 1340-1346
        • Howard D.P.
        • Banerjee A.
        • Fairhead J.F.
        • et al.
        Population-based study of incidence, risk factors, outcome, and prognosis of ischemia peripheral arterial events: implications for prevention.
        Circulation. 2015; 132: 1805-1815
        • O’Connell J.B.
        • Quinones-Baldrich W.J.
        Proper evaluation and management of acute embolic versus thrombotic limb ischemia.
        Semin Vasc Surg. 2009; 22: 10-16
        • Creager M.A.
        • Kaufman J.A.
        • Conte M.S.
        Acute limb ischemia.
        N Engl J Med. 2012; 366: 2198-2206
        • Berridge D.C.
        • Kessel D.O.
        • Robertson I.
        Surgery versus thrombolysis for initial management of acute limb ischemia.
        Cochrane Database Syst Rev. 2013; (CD002784)
        • Ebben H.P.
        • Jongkind V.
        • Wisselink W.
        • et al.
        Catheter directed thrombolysis protocols for peripheral arterial occlusions: a systematic review.
        Eur J Endovasc Surg. 2019; 57: 667-675
        • Ebben H.P.
        • Nederhoed J.H.
        • Lely R.J.
        Low-dose thrombolytics for thromboembolic lower extremity arterial occlusions is effective without major hemorrhagic complications.
        Eur J Vasc Endovasc Surg. 2014; 48: 551-558
        • de Athayde Soares R.
        • Matielo M.F.
        • Brochado Neto F.C.
        • et al.
        Analysis of the results of endovascular and open surgical treatment of acute limb ischemia.
        J Vasc Surg. 2019; 69: 843-849
        • Leung D.A.
        • Blitz L.R.
        • Nelson T.
        • et al.
        Rheolytic pharmacomechanical thrombectomy for the management of acute limb ischemia: results from the PEARL registry.
        J Endovasc Ther. 2015; 22: 546-557
        • Ascher E.
        • Kibrik P.
        • Rizvi S.A.
        • et al.
        Fast-track thrombolysis protocol for acute limb ischemia.
        J Vasc Surg. 2021; 73: 950-959
        • de Athayde Soares R.
        • Matielo M.F.
        • Brochado Neto F.C.
        • et al.
        Analysis of the safety and efficacy of the endovascular treatment for acute limb ischemia with percutaneous pharmacomechanical thrombectomy compared with catheter-directed thrombolysis.
        Ann Vasc Surg. 2020; 66: 470-478
        • Escobar G.A.
        • Burks D.
        • Abarte M.R.
        • et al.
        Risk of acute kidney injury after percutaneous pharmacomechanical thrombectomy using AngioJet in venous and arterial thrombosis.
        Ann Vasc Surg. 2017; 42: 238-245
        • Taha A.G.
        • Byrne R.M.
        • Avgerinos E.D.
        • et al.
        Comparative effectiveness of endovascular versus surgical revascularization for acute lower extremity ischemia.
        J Vasc Surg J Vasc Surg. 2015; 61: 147-154
        • Veenstra E.B.
        • van der Laan M.J.
        • Zeebregts C.J.
        • et al.
        A systematic review and meta-analysis of endovascular and surgical revascularization techniques in acute limb ischemia.
        J Vasc Surg. 2020; 71: 654-668
        • Lopez R.
        • Yamashita T.S.
        • Neisen M.
        • et al.
        Single-center experience with Indigo aspiration thrombectomy for acute lower limb ischemia.
        J Vasc Surg. 2020; 72: 226-232
        • Kwok C.H.
        • Fleming S.
        • Chan K.K.
        • et al.
        Aspiration thrombectomy versus conventional catheter-directed thrombolysis as first-line treatment for noniatrogenic acute lower limb ischemia.
        J Vasc Interv Radiol. 2018; 29: 607-613
        • McNally M.M.
        • Univers J.
        Acute limb ischemia.
        Surg Clin North Am. 2018; 98: 1081-1096
        • Norgren L.
        • Hiatt W.R.
        • Dormandy J.A.
        • et al.
        Inter-society consensus for the management of peripheral arterial disease (TASC II).
        J Vasc Surg. 2007; 45: S5-S67
      1. de Donato G, Pasqui E, Setacci F, et al. Acute on chronic limb ischemia: from surgical embolectomy and thrombolysis to endovascular options. Semin Vasc Surg 2018;31(2-4):66–75.

        • Lipsitz E.C.
        • Veith F.J.
        • Wain R.A.
        Digital fluoroscopy as a valuable adjunct to open vascular operations.
        Semin Vasc Surg. 2003; 16: 280-290
        • Parsons R.E.
        • Marin M.L.
        • Veith F.J.
        • et al.
        Fluoroscopically assisted thromboembolectomy: an improved method for treating acute arterial occlusions.
        Ann Vasc Surg. 1996; 10: 201-210
        • de Donato G.
        • Setacci F.
        • Sirignano P.
        • et al.
        The combination of surgical embolectomy and endovascular techniques may improve outcomes of patients with acute lower limb ischemia.
        J Vasc Surg. 2014; 59: 729-736
        • Weaver F.A.
        • Comerota A.J.
        • Youngblood M.
        • et al.
        Surgical revascularization versus thrombolysis for nonembolic lower extremity native artery occlusions: results of a prospective randomized trial. The STILE Investigators.
        J Vasc Surg. 1996; 24: 513-521
        • Adam D.J.
        • Beard J.D.
        • Cleveland T.
        • et al.
        Bypass versus angioplasty in severe ischemia of the leg (BASIL): multicentre, randomized controlled trial.
        Lancet. 2005; 366: 1925-1934
        • Menard M.T.
        • Farber A.
        • Assmann S.F.
        • et al.
        Design and rationale of the best endovascular versus best surgical therapy for patients with critical limb ischemia (BEST-CLI) trial.
        J Am Heart Assoc. 2016; 5: e003219
        • Baril D.T.
        • Patel V.I.
        • Judelson D.R.
        • et al.
        Outcomes of lower extremity bypass for acute limb ischemia.
        J Vasc Surg. 2013; 58: 949-956
        • Hemingway J.
        • Emanuels D.
        • Aarabi S.
        • et al.
        Safety of transfer, type of procedure, and factors predictive of limb salvage in modern series of acute limb ischemia.
        J Vasc Surg. 2019; 69: 1174-1179
        • Genovese E.A.
        • Chaer R.A.
        • Taha A.G.
        • et al.
        Risk factors for long-term mortality and amputation after open and endovascular treatment of acute limb ischemia.
        Ann Vasc Surg. 2016; 30: 82-92
        • Comerota A.J.
        • Weaver F.A.
        • Hosking J.D.
        • et al.
        Results of a prospective, randomized trial of surgery versus thrombolysis for occluded lower extremity bypass grafts.
        Am J Surg. 1996; 172: 105-112
        • Koraen L.
        • Kuoppala M.
        • Acosta S.
        • et al.
        Thrombolysis for lower extremity bypass graft occlusion.
        J Vasc Surg. 2001; 54: 1339-1344
        • Jacobowitz G.
        • Cayne N.S.
        Lower extremity aneurysms.
        in: Cronenwett J.L. Johnston K.W. Rutherford’s vascular surgery. 8th edition. Elsevier Saunders, Philadelphia2014: 2190-2205
        • Kropman R.H.
        • Schrijver A.M.
        • Keldar J.C.
        • et al.
        Clinical outcome of acute leg ischemia due to thrombosed popliteal artery aneurysm: systematic review of 895 cases.
        Eur J Vasc Endovasc Surg. 2010; 39: 452-457
        • Pulli R.
        • Dorigo W.
        • Castelli
        • et al.
        A multicentric experience with open surgical repair and endovascular exclusion of popliteal artery aneurysms.
        Eur J Vasc Endovasc Surg. 2013; 45: 357-363
        • Farber A.
        • Angle N.
        • Avgerinos E.
        • et al.
        The Society for Vascular Surgery clinical practice guidelines on popliteal artery aneurysms.
        J Vasc Surg. 2021; S0741-5214: 00680-00687
        • Jaffery Z.
        • Thornton S.N.
        • White C.J.
        Acute limb ischemia.
        Am J Med Sci. 2001; 342: 226-234
        • Brooks J.D.
        • Shames M.L.
        Acute limb ischemia.
        in: Cronenwett J.L. Farber A. Mitchell E.L. Vascular decision making: medical, endovascular, surgical. Wolters Kluwer, Philadelphia2021: 310-314
        • Hess C.N.
        • Debus E.S.
        • Nehler M.R.
        • et al.
        Reduction in acute limb ischemia with rivaroxaban versus placebo in peripheral artery disease after lower extremity revascularization: insights from VOYAGER PAD.
        Circulation. 2021; 144: 1831-1841
        • Anand S.S.
        • Hiatt W.
        • Dyal L.
        • et al.
        Low-dose rivaroxaban and aspirin among patients with peripheral artery disease: a meta-analysis of the COMPASS and VOYAGER trials.
        Eur J Prev Cardiol. 2021; (zwab128)