Poll 02/02/2019 – 28/02/2019
The acute limb ischemia
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
DUS: Occlusion of the left popliteal artery
Which is your primary treatment option?
Which would be your primary revascularization method?
- Catheter directed thrombolysis (CDT)
- Endovascular thrombectomy +/- CDT
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
Which is your medical treatment of choice in case of endovascular thrombectomy:
- Vit. K antagonist
- New oral anticoagulation
- Dual antiplatelet therapy
- Combined anticoagulation and antiplatelet therapy
Do you routinely perform inherited thrombophilia workout in cases of embolic disease?
Do you routinely perform neoplastic disease workout in patients with acute limb ischemia?
Do you routinely perform total body CT angiography in order to identify the source of the clot?