Acute Limb Ischemia Interventions

Authors

Asmaa Ahmed, Rochester Regional HealthFollow
Nauman Naeem, Rochester Regional HealthFollow
Aakriti Jain, Rochester Regional HealthFollow
Sahej Arora, Rochester Regional HealthFollow
Islam Y. Elgendy, Division of Cardiovascular Medicine, Gill Heart and Vascular Institute, University of Kentucky.

Department

Internal Medicine

Document Type

Article

Publication Title

Interventional Cardiology Clinics

Abstract

Acute limb ischemia (ALI) is characterized by a sudden decrease in limb perfusion that threatens the viability of the limb. ALI can result from various causes including arterial embolism, thrombosis, or trauma. The diagnosis is predominantly clinical, guided by the "6 Ps" mnemonic-pain, pallor, pulse deficit, paralysis, paresthesia, and poikilothermia-and confirmed through imaging modalities if needed. Treatment decisions are informed by the Rutherford classification, ranging from viable to irreversibly damaged limbs. Early diagnosis and timely intervention are critical for improving limb salvage and reducing amputation rates.

First Page

273

Last Page

282

DOI

10.1016/j.iccl.2024.11.012

Volume

14

Issue

2

Publication Date

4-1-2025

Medical Subject Headings

Humans; Ischemia (diagnosis); Acute Disease; Limb Salvage (methods); Lower Extremity (blood supply); Endovascular Procedures (methods)

PubMed ID

40049853

Recommended Citation

Ahmed, A., Naeem, N., Jain, A., Arora, S., & Elgendy, I. Y. (2025). Acute Limb Ischemia Interventions. Interventional Cardiology Clinics, 14 (2), 273-282. https://doi.org/10.1016/j.iccl.2024.11.012