Cyclist’s injury - the cause of symptoms of chronic ischaemia of the lower limb young patients

Abstract

This paper presents four cases of chronic leg ischaemia in young patients which occured as a result of the sustainment a blunt injury of the iliac or femoral artery in the inguinal region. The time from the occurence of the injury to when the diagnosis was made was from 3 weeks to 6 months. In all cases, a sectional arterial occlusion, with a lack of symptoms of sharp ischaemia, was confirmed during an angiographic examination. Three patients were operated on; in two cases, with a vascular reconstruction being performed intraoperatively using their own saphenous vein and in one case, employing a Dacron prosthesis. In one patient surgery was abandoned because of the lack of the patient’s informed consent.