| Evidence for nonoperative management of acute limb ischemia in infants. | |
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MedLine Citation:
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PMID: 22133454 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute limb ischemia (ALI) in infants is a catastrophic event. We performed a query of our database to determine those with ALI. Twelve patients were identified. The most frequent presentation was cyanotic limbs. Eleven patients were treated nonoperatively with anticoagulation. One patient was treated surgically with Fogarty balloon thrombectomy. There were three deaths all due to associated comorbidities. All had viable limbs on follow-up examination. There were three complications in the patients managed conservatively. Our recommendation for infants presenting with ALI is conservative observation with anticoagulation and intervention only for cases with tissue loss. |
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Authors:
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Jesus M Matos; Andres Fajardo; Michael C Dalsing; Raghu Motaganahalli; George A Akingba; Michael P Murphy |
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Publication Detail:
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Type: Journal Article Date: 2011-12-01 |
Journal Detail:
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Title: Journal of vascular surgery Volume: 55 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-04-02 Completed Date: 2012-05-30 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1156-9; discussion 1158-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Anticoagulants / administration & dosage* Balloon Dilation / adverse effects, methods Cohort Studies Databases, Factual Female Follow-Up Studies Humans Infant Ischemia / drug therapy*, mortality, surgery, ultrasonography Leg / blood supply* Male Retrospective Studies Risk Assessment Severity of Illness Index Survival Rate Thrombectomy / adverse effects, methods Treatment Outcome Ultrasonography, Doppler, Duplex / methods Vascular Patency / physiology |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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