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Femoral Artery Occlusion


Presentation

  • Furthermore, the certainty of an above-the-knee amputation healing is not present in these patients; therefore, a hemodynamic assessment of the healing potential of an above-the-knee amputation is required.[ncbi.nlm.nih.gov]
  • The authors report the case of a young woman who presented with right calf claudication caused by a short occlusion of the superficial femoral artery.[ncbi.nlm.nih.gov]
  • CASE REPORT: A 64-year-old man with a past medical history of hypertension and an ischemic stroke presented to the Emergency Department with CONCLUSION: A focused examination of the aorta, iliac vessels, and femoral artery bifurcation with bedside ultrasonography[ncbi.nlm.nih.gov]
  • We present a case of common femoral artery occlusion that was successfully treated with the FoxHollow SilverHawk atherectomy catheter. The use of this device obviated the need for adjunctive balloon angioplasty and stenting.[ncbi.nlm.nih.gov]
  • We present our experience with this technique. METHODS: Between 1995 and 2000, 43 consecutive patients (48 limbs) underwent subintimal angioplasty for superficial femoral artery occlusions.[ncbi.nlm.nih.gov]
Coarctation of the Aorta
  • Coarctation of the aorta would cause symptoms in both lower extremities. The symptoms of deep venous thrombosis are very different and would not cause a decrease in arterial pressure.[daviespublishing.com]
Crying
  • Five minutes after delivery, the APGAR score was 9, the baby was crying and active with a positive Moro reflex. No sign of injury was present, but his right limb was still pale and cold ( Figure 1 ).[omicsonline.org]
Suggestibility
  • L1-10 decreased smooth muscle cell coverage of neovessels without affecting capillary density, suggesting a specific role for Ang2 in arteriogenesis.[ncbi.nlm.nih.gov]
  • Emergency physicians may use bedside ultrasound in the evaluation of patients with symptoms and signs suggestive of this disease entity.[ncbi.nlm.nih.gov]
  • This case describes a mechanism of femoral artery occlusion by a suture-mediated APCD and suggests a method of prevention and treatment.[ncbi.nlm.nih.gov]
  • Various types of claudication include: Buttock claudication, which strongly suggests aortoiliac disease. Thigh claudication, which suggests distal external iliac/common femoral disease. Calf claudication, which suggests femoral/popliteal disease.[daviespublishing.com]
  • Less morbidity and better cost-effectiveness are suggested to be achieved in the treatment of chronic lower limb ischaemia with endovascular treatment compared to surgical treatment.[ncbi.nlm.nih.gov]
Cesarean Section
  • Case This male infant was the product of 32 week twin gestation and the pregnancy was uncomplicated until a week before term, when a deceleration of fetal heart rate was observed and an emergency delivery performed by Cesarean Section.[omicsonline.org]

Workup

  • Non-invasive workup, including a duplex sonogram, demonstrated distal aortic stenosis involving the aortoiliac bifurcation. She underwent an abdominal aortogram with bilateral lower extremity arterial run-offs.[cureus.com]
  • Diagnostic workup Head CTs and/or MRIs were performed to confirm the diagnosis of posterior circulation infarction, and angiography was recommended to locate the occlusion, responsible arteries, collateral flow, and other vascular lesions that may affect[jbiomeds.com]
Mural Thrombus
  • A 32-year-old woman suffered a right femoral artery embolic occlusion from an abdominal aortic mural thrombus associated with caval perforation by a stainless steel Greenfield Filter.[ncbi.nlm.nih.gov]
Chlamydia
  • […] disease. 7 Anti-HSP65 antibodies have been found in patients with carotid plaque 8 and titre levels of anti-HSP65 have been correlated to the severity of carotid lesions. 9 A correlation has been reported too between anti-HSP60 antibodies and anti- Chlamydia[casereports.bmj.com]
  • […] clopidogrel may be superior to aspirin and should be considered as an alternative treatment in these patients. 39 Experimental or investigational agents for PAD include naftidrofuryl (Nafronyl), which is approved in Europe, macrolide antibiotic treatment for chlamydia[aafp.org]

Treatment

  • Less morbidity and better cost-effectiveness are suggested to be achieved in the treatment of chronic lower limb ischaemia with endovascular treatment compared to surgical treatment.[ncbi.nlm.nih.gov]
  • When PTA is used in the treatment of superficial femoral artery (SFA) occlusions 35% reocclude within 1 year.[ncbi.nlm.nih.gov]
  • Subintimal angioplasty in the treatment of CLI should be reserved for those patients not fit for surgical bypass.[ncbi.nlm.nih.gov]
  • Abstract In-stent reocclusion is a frequent complication of endovascular treatment and stenting, especially in the superficial femoral artery.[ncbi.nlm.nih.gov]
  • Less morbidity and better cost-effectiveness are suggested to be achieved in treatment of chronic lower limb ischaemia with endovascular treatment comparing to surgical treatment.[clinicaltrials.gov]

Prognosis

  • The purpose of this study was to evaluate the incidence, risk factors, treatment and prognosis of PAE in primary SFA PTA stent.[journals.plos.org]
  • Differentiating between the 2 concepts is important in order to establish the therapeutic indication and the prognosis in patients with PAD.[revespcardiol.org]
  • Expectations (prognosis) The prognosis depends on the underlying disease and the stage at which peripheral vascular disease is discovered. Removal of risk factors, such as smoking, should be done immediately.[rjmatthewsmd.com]
  • [ edit ] Individuals with PAD have an "exceptionally elevated risk for cardiovascular events and the majority will eventually die of a cardiac or cerebrovascular etiology"; [62] prognosis is correlated with the severity of the PAD as measured by an ABI[en.wikipedia.org]
  • […] surgery) The person's overall health Regardless of the specific treatments used, people still need to treat disorders that are risk factors for atherosclerosis (such as high blood pressure, diabetes, smoking, and high cholesterol) to improve their overall prognosis[merckmanuals.com]

Etiology

  • Emergency cesarean delivery and maternal diabetes or very high BMI of infant are risk factors for arterial occlusion and iatrogenic vascular injuries must also be considered in the etiology [ 2 ].[omicsonline.org]
  • […] resulting from obstruction of the peripheral arteries Epidemiology demographics affects older patients male female location most commonly affects the popliteal artery risk factors smoking hypertension hyperlipidemia family history renal disease diabetes Etiology[medbullets.com]
  • Posttraumatic occlusion was thought to be the etiology (Figures 1,2,3&4).[ispub.com]
  • […] aortic PAD was compiled in 2013, combining the 2005 and 2011 guidelines. [34] Prognosis [ edit ] Individuals with PAD have an "exceptionally elevated risk for cardiovascular events and the majority will eventually die of a cardiac or cerebrovascular etiology[en.wikipedia.org]
  • In this situation, an exercise arterial study should be performed to determine the true etiology of exertional limb pain.[rjmatthewsmd.com]

Epidemiology

  • Introduction Clinical definition ischemia resulting from obstruction of the peripheral arteries Epidemiology demographics affects older patients male female location most commonly affects the popliteal artery risk factors smoking hypertension hyperlipidemia[medbullets.com]
  • Finally, from an epidemiologic point of view, the association between the ABI and the presence of vascular disease in other territories is also very interesting.[revespcardiol.org]
  • "Epidemiology, classification, and modifiable risk factors of peripheral arterial disease". Vasc Health Risk Manag. 3 (2): 229–34. doi : 10.2147/vhrm.2007.3.2.229. PMC 1994028. PMID 17580733.[en.wikipedia.org]
  • E27 - E30 __________________________ Introduction and Epidemiology Isolated atherosclerotic involvement of the common femoral artery (CFA) and its bifurcation are rare and reports consisting large patient series are unavailable.[vasculardiseasemanagement.com]
  • Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA. 2002;287:2570–81. 14. Adler AI, Stevens RJ, Neil A, Stratton IM, Boulton AJ, Holman RR.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • OBJECTIVE: Recently, we have shown that shear stress regulates the angiogenic potential of endothelial cells in vitro by an Angiopoietin-2 (Ang2)-dependent mechanism; however its pathophysiological significance in vivo was not clear.[ncbi.nlm.nih.gov]
  • From the pathophysiologic point of view, ischemia of the lower limbs can be classified as functional or critical.[revespcardiol.org]
  • "Diabetes and vascular disease pathophysiology, clinical consequences, and medical therapy: Part II". Circulation. 108 (13): 1655–1661. doi : 10.1161/01.cir.0000089189.70578.e2. PMID 14517152.[en.wikipedia.org]
  • [ 27 - 30 ] Risk factors for RAO are no anticoagulant use, prolonged high-pressure compression of the radial artery, small radial artery to sheath ratio, smoking, and recurring procedures. [ 27 - 30 ] Thrombus formation appears to be involved in the pathophysiology[medsci.org]
  • Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA. 2002;287:2570–81. 14. Adler AI, Stevens RJ, Neil A, Stratton IM, Boulton AJ, Holman RR.[aafp.org]

Prevention

  • Such delays in recognition and treatment can result in irreversible but potentially preventable tissue injury.[ncbi.nlm.nih.gov]
  • This case describes a mechanism of femoral artery occlusion by a suture-mediated APCD and suggests a method of prevention and treatment.[ncbi.nlm.nih.gov]
  • A distal filter device is strongly recommended to prevent the risk of distal embolization with the use of this atherectomy system [7-8].[cureus.com]
  • A support catheter is obligatory to prevent kinking and cold saline irrigation is used to avoid overheating.[angiologist.com]
  • It helps prevent wounds or foot ulcers from becoming infected and painful or resulting in gangrene. Good foot care also helps prevent amputation.[merckmanuals.com]

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