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Vol 29, No 1 (2023)
Case report
Published online: 2023-04-19

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Isolated thigh ischemia in the course of iliofemoral arterial obstruction

Jakub Goławski1, Ewa Sobieraj1, Marcin Grudziecki2, Łukasz Dzieciuchowicz3
Acta Angiologica 2023;29(1):37-41.

Abstract

A 72-year-old female presented rapidly developing ischemia of the skin and subcutaneous tissue of the antero-medial aspect of a thigh. An atypical clinical manifestation of ischemia led to delayed diagnosis and treatment that resulted in the development of large tissue loss in the anteromedial aspect of the thigh. Endovascular recanalization of recurrent occlusion in the ilio-femoral segment with rotational thrombectomy together with a multi-step local surgical treatment resulted in healing of the lesion.

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References

  1. Varu VN, Hogg ME, Kibbe MR. Critical limb ischemia. J Vasc Surg. 2010; 51(1): 230–241.
  2. Teraa M, Conte MS, Moll FL, et al. Critical Limb Ischemia: Current Trends and Future Directions. J Am Heart Assoc. 2016; 5(2).
  3. Wong CH, Wang YS. The diagnosis of necrotizing fasciitis. Curr Opin Infect Dis. 2005; 18(2): 101–106.
  4. Teraa M, Conte MS, Moll FL, et al. Critical Limb Ischemia: Current Trends and Future Directions. J Am Heart Assoc. 2016; 5(2).
  5. Slovut DP, Sullivan TM. Critical limb ischemia: medical and surgical management. Vasc Med. 2008; 13(3): 281–291.
  6. Uccioli L, Meloni M, Izzo V, et al. Critical limb ischemia: current challenges and future prospects. Vasc Health Risk Manag. 2018; 14: 63–74.
  7. Uccioli L, Meloni M, Izzo V, et al. Critical limb ischemia: current challenges and future prospects. Vasc Health Risk Manag. 2018; 14: 63–74.
  8. Ghosh SK, Bandyopadhyay D. Symmetrical peripheral gangrene. Indian J Dermatol Venereol Leprol. 2011; 77(2): 244–248.
  9. Wong CH, Wang YS. The diagnosis of necrotizing fasciitis. Curr Opin Infect Dis. 2005; 18(2): 101–106.
  10. Raff A, Kroshinsky D. Cellulitis. JAMA. 2016; 316(3): 325–337.
  11. Swartz MN. Clinical practice. Cellulitis. N Engl J Med. 2004; 350(9): 904–912.
  12. Hupkens P, Van Loon B, Lauret GJ, et al. Anteromedial thigh flaps: an anatomical study to localize and classify anteromedial thigh perforators. Microsurgery. 2010; 30(1): 43–49.
  13. Hupkens P, Van Loon B, Lauret GJ, et al. Anteromedial thigh flaps: an anatomical study to localize and classify anteromedial thigh perforators. Microsurgery. 2010; 30(1): 43–49.
  14. Hupkens P, Van Loon B, Lauret GJ, et al. Anteromedial thigh flaps: an anatomical study to localize and classify anteromedial thigh perforators. Microsurgery. 2010; 30(1): 43–49.
  15. Freitas B, Steiner S, Bausback Y, et al. Rotarex Mechanical Debulking in Acute and Subacute Arterial Lesions. Angiology. 2017; 68(3): 233–241.
  16. Bulvas M, Sommerová Z, Vaněk I, et al. Prospective Single-Arm Trial of Endovascular Mechanical Debulking as Initial Therapy in Patients With Acute and Subacute Lower Limb Ischemia: One-Year Outcomes. J Endovasc Ther. 2019; 26(3): 291–301.