Acute Arterial Occlusion of the Left Lower Extremity during Prolonged Fasting.
10.4070/kcj.1996.26.1.155
- Author:
Byung Hyun RHEE
;
Wan Hee YOO
;
Byeong Hyun IN
;
Won Ho KIM
;
Jae Ki KO
- Publication Type:Case Report
- Keywords:
Acute arterial occlusion;
Fasting;
Intra-arterial thrombolysis
- MeSH:
Angioplasty;
Arteries;
Embolism;
Extremities;
Fasting*;
Femoral Artery;
Humans;
Iliac Artery;
Lower Extremity*;
Male;
Middle Aged;
Thrombolytic Therapy;
Thrombosis;
Urokinase-Type Plasminogen Activator
- From:Korean Circulation Journal
1996;26(1):155-160
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute arterial occlusion of the extremity may result from obstruction of an artery by embolism or by thrombosis in situ. This results in the sudden cessation of blood flow to an extremity. So immediate managements are required to prevent propagation of the clot and to restore blood flow to the ischemic extremity promptly. We report a case of a acute arterial occlusion which was developed during prolonged fasting. A 59-year-old male was transferred due to severe ischemic pain, coldness and loss of pulse in left lower extremity during fast. The arteriogram shows a complete obstruction of external iliac artery and non-visualization of femoral artery and popliteotibial artery in the left lower extremity. Selective intra-arterial urokinase thrombolytic therapy and percutaneous transluminal angioplasty resulted in recannulation of obstructed artery and relief of symptoms.
