Polling Station

Poll 02/02/2019 – 28/02/2019

The acute limb ischemia

Patient’s characteristics

Gender: Female

Age: 65 years old

Comorbidity: Arterial hypertension, Dyslipidemia

Symptoms:  Acute onset of claudication (<2 weeks), Rutherford class 3 of the left limb

Previous operations: None

ABI: 0.5

DUS: Occlusion of the left popliteal artery

Question #1

Which is your primary treatment option?
  • Revascularization
  • Conservative
Question #2

Which would be your primary revascularization method?
  • Catheter directed thrombolysis (CDT)
  • Endovascular thrombectomy +/- CDT
  • Surgery
Question #3

Which of the following modalities would be your primary endovascular thrombectomy option?
  • Aspiration thrombectomy
  • Rotational thrombectomy
  • Syringed based aspiration
  • Pharmaco-mechanical Thrombectomy
  • Ultrasound-assisted catheter-directed low-dose thrombolysis
Question #4

Which is your medical treatment of choice in case of endovascular thrombectomy:
  • Vit. K antagonist
  • New oral anticoagulation
  • Clopidogrel
  • Aspirin
  • Dual antiplatelet therapy
  • Combined anticoagulation and antiplatelet therapy
Question #5

Do you routinely perform inherited thrombophilia workout in cases of embolic disease?
  • Yes
  • No
Question #6

Do you routinely perform neoplastic disease workout in patients with acute limb ischemia?
  • Yes
  • No
Question #7

Do you routinely perform total body CT angiography in order to identify the source of the clot?
  • Yes
  • No