Diagnosis of spontaneous acute ischemic syndromes
Keywords:
ischemia, cateterism, arterial surgeryAbstract
Diagnosis of spontaneous, acute, ischemic syndromes of the limbs is studied. Positive diagnosis is based on the presence of three
elements: pain, loss of temperature and changes in colour, added to disappearence of pulses. They are classified according to their intensity into
light, medium and severe. Topographic diagnosis is made by clinical procedures and, eventually, by arteriography. Diagnosis of limb viability is of the greatest interest. At times this may be extremely difficult. The most common ethiologies are listed, with stress
on the. frequent difficulty of distinguishing between embolism and acute thrombosis. Arteriography is not always necessary in embolism.
Conversely, it should be performed in other types of ischemia in arder to establish the surgical technique to be employed.
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