RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127275015
T1 THROMBOEMBOLECTOMY, FEMORAL
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127275015
RD 2024/04/19
AB Acute  lower  limb  ischemia  may  be  caused  by  distal  embolization  from  a  more  proximal  source  or  by  thrombosis  of  an  underlying  atherosclerotic  lesion  or  previously  constructed  bypass  graft.  The  clinical  presentation  is  often  an  emergency  situation  with  varying  degrees  of  limb  threatening  ischemia.  If  a  patient’s  ischemia  is  not  as  severe  and  allows  more  time  for  treatment,  catheter-based  thrombolytic  therapy  may  be  preferred  as  first  line,  since  lysis  may  reveal  an  underlying  lesion  that  also  requires  treatment.  If  ischemia  is  more  profound,  then  proceeding  to  emergency  surgical  intervention  is  the  best,  most  expeditious  approach.