Show simple item record

dc.contributor.author Raileanu, Diana
dc.date.accessioned 2020-10-20T20:03:05Z
dc.date.available 2020-10-20T20:03:05Z
dc.date.issued 2020
dc.identifier.citation RAILEANU, Diana. New perspective in management of acute limb ischemia. In: MedEspera: the 8th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2020, p. 100. ISBN 978-9975-151-11-5. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/ABSTRACT-BOOK.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/12255
dc.description Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 8th International Medical Congress for Students and Young Doctors, September 24-26, 2020 en_US
dc.description.abstract Introduction. Acute limb ischemia is defined as a sudden decrease in arterial perfusion of the limb, with a potential threat to the survival of the limb, requiring urgent evaluation and management. Acute limb ischemia is considered when the symptom duration is less than two weeks. The most common causes of ALI are embolism, thrombosis of native arteries or reconstructions, peripheral arterial aneurysm, dissection, and traumatic arterial injury. In Europe, acute limb ischemia caused by native artery thrombosis or embolization into an atherosclerotic vascular bed has increased in incidence, which has important implications for treatment. In Republic of Moldova, the arterial thromboembolism rest the most common cause of acute limb ischemia. Validation of charts revealed three distinct categories of ALI: lower limb arterial thrombo-embolism; acute exacerbation of chronic limb ischemia; and iatrogenic ALI after revascularization procedures. The clinical presentation of ALI depends on the location and duration of the arterial occlusion, the presence of collateral circulation, and the metabolic changes related to tissue ischemia. Digital subtraction angiography, computed tomography angiography, duplex ultrasound an contrast enhanced magnetic resonance angiography can all be considered for imaging in patients with ALI . Computed tomography angiography is used most often because of its availability, and should be performed for treatment planning, unless the ischemia is too severe to allow time for additional imaging. Initial medical treatment of ALI includes appropriate analgesia and intravenous administration of unfractionated heparin, followed by infusion, dose adjusted to patient response. Patients with ALI should be treated by specialists in vascular and endovascular therapies. The treatment of acute limb ischemia are possible with open revascularization techniques (thrombo-emolectomy and bypass), Endovascular methods (thrombus aspiration, Endovascular mechanical thrombectomy), hybrid treatment and catheter-directed thrombosis. Aim of the study. The aim of study is to present the management of patients with acute limb ischemia at different level of healthcare services and the modern medical approach of treatments. Materials and methods. This study is an literature review. For this execution was researched the last European and American guidelines and published studies between 2000 and 2019. Conclusions. Only adequate revascularization, correctly chosen and applied as early as possible is the key to the treatment of acute limb ischemia. It is important that specialists of all fields, as well as patients from risk groups be properly informed. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject acute ischemia en_US
dc.subject embolism en_US
dc.subject arterial thrombosis en_US
dc.title New perspective in management of acute limb ischemia en_US
dc.type Article en_US


Files in this item

This item appears in the following Collection(s)

  • MedEspera 2020
    The 8th International Medical Congress for Students and Young Doctors, September 24-26, 2020

Show simple item record

Search DSpace


Advanced Search

Browse

My Account

Statistics