Document Detail


Evidence for nonoperative management of acute limb ischemia in infants.
MedLine Citation:
PMID:  22133454     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jesus M Matos; Andres Fajardo; Michael C Dalsing; Raghu Motaganahalli; George A Akingba; Michael P Murphy
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Publication Detail:
Type:  Journal Article     Date:  2011-12-01
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-05-30     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1156-9; discussion 1158-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
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MeSH Terms
Descriptor/Qualifier:
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:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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