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Endovascular Strategies in the Management of Acute Limb Ischemia
Vascular Specialist International 2019;35:4-9
Published online March 31, 2019;  https://doi.org/10.5758/vsi.2019.35.1.4
© 2019 Vascular Specialist International.

Benjamin Lind1, Omar Morcos1, Hector Ferral2, Allen Chen2, Thomas Aquisto2, Stephen Lee1, Cheong Jun Lee1

1Department of Surgery, Division of Vascular Surgery, Northshore University Health Systems, A Teaching Affiliate of the University of Chicago Pritzker School of Medicine, Evanston, USA, 2Department of Radiology, Division of Interventional Radiology, Northshore University Health Systems, A Teaching Affiliate of the University of Chicago Pritzker School of Medicine, Evanston, USA
Correspondence to: Cheong Jun Lee, Department of Surgery, Division of Vascular Surgery, Northshore University Health Systems, A Teaching Affiliate of the University of Chicago Pritzker School of Medicine, 2650 Ridge Ave, Evanston, IL 60201, USA, Tel: 1-847-663-8050, Fax: 1-224-251-4407, E-mail: Clee6@northshore.org, https://orcid.org/0000-0003-1439-5659
Received February 27, 2019; Revised March 7, 2019; Accepted March 7, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract

Acute limb ischemia (ALI) represents one of the most common emergent scenarios encountered by a vascular specialist. Despite expedient revascularization, high rates of limb loss are reported along with high mortality rates which are second only to ruptured abdominal aortic aneurysms. Surgical revascularization is standard of care. Endovascular techniques as an alternative have emerged to be appropriate first line therapy when addressing the threatened limb. We review the etiology and classification of ALI and current endovascular techniques and evidence to date in the management of patients acutely presenting with extremity ischemia.

Keywords: Peripheral artery disease, Embolism and thrombosis, Endovascular procedures


March 2019, 35 (1)