Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1991-11-7
pubmed:abstractText
Acute arterial occlusion resulting in limb ischemia may be caused by a diverse array of conditions but most often is the result of an arterial embolism or thrombosis of a previously diseased vessel. Differentiation of these two primary entities may be difficult, but a careful history, thorough physical examination, and liberal use of arteriography can usually separate them. Distinction is important because an embolus is almost always best treated by prompt operation, whereas management of acute arterial thrombosis is often improved when the limb is viable, and emergency operation can be deferred. The significant underlying cardiac problems responsible for an embolus continue to cause appreciable morbidity and mortality after arterial embolectomy despite simplification in the operative procedure itself and steady improvement in limb salvage. Although the risk of emergency surgical treatment of acute arterial thrombosis is usually less than that associated with embolectomy, results of salvage of the limb are often less satisfactory. Nonoperative management of acute ischemia by high-dose antiocoagulation alone or use of fibrinolytic drugs may also be useful in specific circumstances. Exact indications for the use and likely benefits of such nonoperative therapy remain unsettled.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0733-8651
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
497-513
pubmed:dateRevised
2005-11-16
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
Acute peripheral arterial occlusion.
pubmed:affiliation
Department of Surgery, Harvard Medical School, Boston, Massachusetts.
pubmed:publicationType
Journal Article, Review