Info
Acute limb ischemia (ALI)-peripheral artery disease
(Circ 2016;135:e686)
- Sudden decrement in limb perfusion
- (ie, acutely cold & painful) that threatens viability
- Etiologies: embolism > acute thrombosis (eg, athero, APS, HITT), trauma to artery
- Clinical manifestations: (6 Ps)
- pain (distal to proximal, ↑ in severity),
- poikilothermia,
- pallor,
- pulselessness,
- paresthesias,
- paralysis
- Diagnosis:
- pulse & neuro exam;
- arterial & venous Doppler;
- angiography, CTA or MRA
- Urgent consultation w/ vascular medicine and/or vascular surgery