Muñoz Durán Julián Andrés, Echeverri Isaza Santiago, Hidalgo Oviedo José Migue, Sanin Emilio, Alvarez-Vallejo Sergio, García Gómez Vanessa
Department of Interventional Radiology, Universidad de Antioquia, Medellin, COL.
Department of Interventional Radiology, Hospital Pablo Tobón Uribe, Medellin, COL.
Cureus. 2024 Feb 22;16(2):e54672. doi: 10.7759/cureus.54672. eCollection 2024 Feb.
The endovascular treatment of acute lower limb ischemia associated with cocaine use is an underexplored topic. This scoping review aims to map existing information and point out potential knowledge gaps for future research. We searched databases with a strategy of terms and keywords (Cocaine, Acute, Lower Limb, and Ischemia) for articles related to acute ischemia in the lower limbs and cocaine use. We established eligibility and exclusion criteria and searched without restrictions on language or date of publication. We obtained five case reports published between 2004 and 2015. Most of the patients were men with an average age of 38 years. Treatments were heterogeneous. Most patients showed improvement after surgical thrombectomy. The sample size and variety of interventions limit the generalizability of the results, so it is necessary to do more studies with robust methodologies to standardize treatments and improve the understanding of the condition.
与可卡因使用相关的急性下肢缺血的血管内治疗是一个尚未充分探索的课题。本范围综述旨在梳理现有信息，并指出未来研究中潜在的知识空白。我们采用术语和关键词策略（可卡因、急性、下肢、缺血）在数据库中搜索与下肢急性缺血和可卡因使用相关的文章。我们制定了纳入和排除标准，且搜索不受语言或出版日期限制。我们获得了2004年至2015年间发表的5篇病例报告。大多数患者为男性，平均年龄38岁。治疗方法各异。大多数患者在接受外科血栓切除术后病情有所改善。样本量和干预措施的多样性限制了结果的普遍性，因此有必要开展更多采用可靠方法的研究，以规范治疗并增进对该病症的了解。
