scholarly journals Critical Limb Ischemia in a Young Patient With a Mechanical Aortic Valve Leading to Bilateral Above-Knee Amputation

Cureus ◽  
2021 ◽  
Author(s):  
Shiwani Kamath ◽  
Abid Ulhaque ◽  
Rias Ali ◽  
Johnathan Frunzi
Keyword(s):  
Aortic Valve ◽  
Young Patient ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Knee Amputation ◽  
Mechanical Aortic Valve

scholarly journals Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Vy Thuy Ho ◽  
Nathan K. Itoga ◽  
Tiffany Wu ◽  
Ehab Sorial ◽  
Manuel Garcia-Toca
Keyword(s):  
Aortic Valve ◽  
Renal Artery ◽  
Critical Limb Ischemia ◽  
Artery Aneurysm ◽  
Limb Ischemia ◽  
Knee Amputation ◽  
Renal Aneurysm ◽  
History Of ◽  
Culture Negative

Mycotic renal artery aneurysms are rare and can be difficult to diagnose. Classic symptoms such as hematuria, hypertension, or abdominal pain can be vague or nonexistent. We report a case of a 53-year-old woman with a history of intravenous drug abuse presenting with critical limb ischemia, in which CT angiography identified a mycotic renal aneurysm. This aneurysm tripled in size from 0.46 cm to 1.65 cm in a 3-week interval. Echocardiography demonstrated aortic valve vegetations leading to a diagnosis of culture-negative endocarditis. The patient underwent primary resection and repair of the aneurysm, aortic valve replacement, and left below-knee amputation after bilateral common iliac and left superficial femoral artery stenting. At 1-year follow-up, her serum creatinine is stable and repaired artery remains patent.

scholarly journals Endovascular Therapy for Critical Limb Ischemia Accompanied with Severe Aortic Valve Stenosis: A Case Report

2013 ◽  
Vol 53 (February) ◽  
pp. 33-38
Author(s):  
Akihiro Nakamura ◽  
Akiyo Abe ◽  
Yuta Kagawa ◽  
Katsuya Kohzu ◽  
Kenjiro Sato ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Aortic Valve Stenosis ◽  
Endovascular Therapy ◽  
Critical Limb Ischemia ◽  
Limb Ischemia

scholarly journals Optimizing Peripandemic Care for Veteran Major Non-Traumatic Lower Extremity Amputees: A Proposal Informed by a National Retrospective Descriptive Analysis of COVID-19 Risk Factor Prevalence

2020 ◽  
Vol 185 (11-12) ◽  
pp. e2124-e2130
Author(s):  
James M Dittman ◽  
Wayne Tse ◽  
Michael F Amendola
Keyword(s):  
United States ◽  
Risk Assessment ◽  
Critical Limb Ischemia ◽  
Case Fatality ◽  
Limb Ischemia ◽  
The United States ◽  
Veterans Affairs ◽  
Improvement Program ◽  
Knee Amputation ◽  
Comorbidity Burden

Abstract Introduction In response to the Coronavirus 2019 (COVID-19) pandemic, vascular surgeons in the Veteran Affairs Health Care System have been undertaking only essential cases, such as advanced critical limb ischemia. Surgical risk assessment in these patients is often complex, considers all factors known to impact short- and long-term outcomes, and the additional risk that COVID-19 infection could convey in this patient population is unknown. The European Centre for Disease Prevention and Control (ECDC) published risk factors (ECDC-RF) implicated in increased COVID-19 hospitalization and case-fatality which have been further evidenced by initial reports from the United States Centers for Disease Control and Prevention. CDC reports additionally indicate that African American (AA) patients have incurred disparate infection outcomes in the United States. We set forth to survey the Veterans Affairs Surgical Quality Improvement Program (VASQIP) database over a nearly 20 year span to inform ongoing risk assessment with an estimation of the prevalence of ECDC-RF in our veteran critical limb ischemia population and investigate whether an increased COVID-19 comorbidity burden exists for AA veterans presenting for major non-traumatic amputation. Materials and Methods The VASQIP database was queried for all above knee amputation (AKA) and below knee amputation (BKA) completed 1999–2018 after IRB approval (MIRB:#02507). Patient race and ECDC-RF including male gender, age > 60 years, smoking status, hypertension, diabetes, chronic obstructive pulmonary disease, cancer, and cardiovascular disease were recorded from preoperative patient history. AKA and BKA cohorts were compared via χ2-test with Yates correction or unpaired t-test and a subgroup analysis was conducted between AA and all other race patients for COVID-19 comorbidities in each cohort. Results VASQIP query returned 50,083 total entries. Average age was 65.1 ± 10.4 years and 68.2 ± 10.5 years for BKA and AKA cohorts, respectively, (P < .0001) and nearly all patients were male (99%). At least one ECDC-RF comorbidity was present in 25,526 (88.7%) of BKA and 17,558 (82.4%) of AKA patients (P < .0001). AA BKA patients were significantly more likely than non-AA BKA patients to present with at least one ECDC-RF comorbidity (P = .01). Conclusions According to a large national Veterans Affairs database, there are high rates of ECDC-RF in veteran amputees. During the present crisis, management of these patients should incorporate telehealth, expedient discharge, and ongoing COVID-19 transmission precautions.

Sirolimus-eluting Versus Bare Stents After Suboptimal Infrapopliteal Angioplasty for Critical Limb Ischemia: Enduring 1-year Angiographic and Clinical Benefit

2007 ◽  
Vol 14 (2) ◽  
pp. 241-250 ◽  
Author(s):  
Dimitris Siablis ◽  
Dimitris Karnabatidis ◽  
Konstantinos Katsanos ◽  
George C. Kagadis ◽  
Pantelis Kraniotis ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Clinical Benefit ◽  
Limb Ischemia ◽  
Infrapopliteal Angioplasty

Wound healing after revascularization for critical limb ischemia

2019 ◽  
Vol 38 (3) ◽  
Author(s):  
Masaya Sano ◽  
Kota Yamamoto ◽  
Akihiko Seo ◽  
Atsushi Akai ◽  
Daisuke Akagi ◽  
...  
Keyword(s):  
Wound Healing ◽  
Critical Limb Ischemia ◽  
Limb Ischemia
Sign in / Sign up

Export Citation Format

Share Document