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Acute limb ischemia
Hans Rosenberg, Erin Rosenberg and Dalibor Kubelik
CMAJ October 16, 2023 195 (40) E1383; DOI: https://doi.org/10.1503/cmaj.230471
Hans Rosenberg
Department of Emergency Medicine (H. Rosenberg), The Ottawa Hospital; Department of Medicine (E. Rosenberg), The Ottawa Hospital; Department of Surgery (Kubelik), University of Ottawa; The Ottawa Hospital (Kubelik), Ottawa, Ont.
MDErin Rosenberg
Department of Emergency Medicine (H. Rosenberg), The Ottawa Hospital; Department of Medicine (E. Rosenberg), The Ottawa Hospital; Department of Surgery (Kubelik), University of Ottawa; The Ottawa Hospital (Kubelik), Ottawa, Ont.
MDDalibor Kubelik
Department of Emergency Medicine (H. Rosenberg), The Ottawa Hospital; Department of Medicine (E. Rosenberg), The Ottawa Hospital; Department of Surgery (Kubelik), University of Ottawa; The Ottawa Hospital (Kubelik), Ottawa, Ont.
MD
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Acute limb ischemia
Hans Rosenberg, Erin Rosenberg, Dalibor Kubelik
CMAJ Oct 2023, 195 (40) E1383; DOI: 10.1503/cmaj.230471
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- Acute limb ischemia is a sudden decrease in limb perfusion that threatens limb viability
- An acutely painful limb is the most important symptom warranting investigation for acute limb ischemia
- The initial investigation of choice is computed tomography (CT) angiography
- Systemic anticoagulation with intravenous unfractionated heparin is usually initiated at the time of diagnosis
- Management decisions should be driven by clinical severity, and clot burden and distribution on imaging
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