Endovascular management of acute limb ischemia

Vasc Med. 2013 Oct;18(5):307-13. doi: 10.1177/1358863X13505643. Epub 2013 Oct 4.


Acute limb ischemia (ALI) is defined as a sudden decrease (<14 days) in limb perfusion causing a potential threat to limb viability. Endovascular treatment of ALI is an effective and appropriate primary treatment strategy in patients with a viable acutely ischemic limb due to a recent arterial occlusion. We present a case of acute limb ischemia and discuss percutaneous interventional treatment strategies including catheter-directed thrombolysis, rheolytic thrombectomy, and utilization of distal protection devices.

Keywords: Acute limb ischemia.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged, 80 and over
  • Angiography, Digital Subtraction
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / therapy
  • Endovascular Procedures / methods*
  • Female
  • Femoral Artery / diagnostic imaging
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / therapy*
  • Leg / blood supply*
  • Leg / diagnostic imaging
  • Limb Salvage / methods
  • Thrombectomy
  • Thrombolytic Therapy