Division of Vascular & Endovascular Surgery, Boston University School of Medicine 85 East Concord Street, Suite 3000, Boston, MA 02118, USA.
Division of Vascular & Endovascular Surgery, Boston University School of Medicine 85 East Concord Street, Suite 3000, Boston, MA 02118, USA.
Adv Surg. 2022 Sep;56(1):287-304. doi: 10.1016/j.yasu.2022.03.004.
Acute limb ischemia (ALI) is a vascular emergency associated with high rates of limb loss and mortality. Management of these patients is challenging given the severe systemic illness resulting from tissue ischemia and the high incidence of preexisting comorbid conditions and underlying peripheral arterial disease. Expeditious diagnosis, anticoagulation, and revascularization are of utmost importance in reducing morbidity. Revascularization may be accomplished using open, endovascular, or hybrid techniques. Approach to revascularization depends on the severity of ischemia, location of occlusion, cause, chance of recovery, comorbidities, and available resources.
急性肢体缺血（ALI）是一种与高截肢率和死亡率相关的血管急症。由于组织缺血引起的严重系统性疾病以及预先存在的合并症和潜在外周动脉疾病的高发生率，这些患者的管理具有挑战性。迅速诊断、抗凝和血运重建对于降低发病率至关重要。血运重建可以通过开放、血管内或杂交技术来完成。血运重建的方法取决于缺血的严重程度、闭塞的位置、原因、恢复的机会、合并症和可用资源。
