Document Detail


Limb salvage after delayed diagnosis for blunt traumatic infrapopliteal occlusion.
MedLine Citation:
PMID:  20570464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infrapopliteal occlusion is uncommon after blunt trauma, and limb salvage after delayed diagnosis is even rarer. We present the case of a 56-year-old man who had complex lower leg orthopedic fractures along with a reportedly normal pulse examination with an 11-day diagnostic delay of limb-threatening ischemia requiring distal revascularization. This case illustrates an incidence of delayed infrapopliteal three-vessel occlusion with successful revascularization and subsequent endovascular management to maintain patency. We describe the workup and treatment of delayed infrapopliteal occlusion and a review of the current literature on this topic.
Authors:
Marlin Wayne Causey; Morohunranti O Oguntoye; Seth Miller; Charles Andersen; Niten Singh
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-06-08
Journal Detail:
Title:  Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  734-7     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Madigan Army Medical Center, Tacoma, Wash 98431, USA. mwcausey@msn.com
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Angioplasty
Arterial Occlusive Diseases / diagnosis,  etiology,  physiopathology,  surgery*
Constriction, Pathologic
Delayed Diagnosis*
Fibula / injuries,  surgery
Fracture Fixation
Humans
Ischemia / diagnosis,  etiology,  physiopathology,  surgery*
Limb Salvage*
Male
Middle Aged
Saphenous Vein / transplantation*
Tibial Arteries / physiopathology,  radiography,  surgery*
Tibial Fractures / etiology,  surgery
Time Factors
Treatment Outcome
Vascular Patency
Wounds, Nonpenetrating / diagnosis,  etiology,  surgery*

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


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