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Vascular Emergencies: Challenges and Solutions - Endovascular Today

Vascular Emergencies: Challenges and Solutions
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What is unique about all of the fields of medicine comprising vascular health care is that a good majority of our patients often require immediate life- or limb-saving care. Time is often of the essence, and a solid foundational understanding of how best to respond to these emergencies is paramount to provide the highest level of patient care.
In this edition of
Endovascular Today, we focus on a wide variety of emergent vascular conditions and what is currently known about their incidences, associated unique challenges, and potential treatment options. We have asked experts from leading centers to explain the essentials in a practical fashion, sharing their understanding as to best practices.

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Evaluation and Management of Acute Limb Ischemia - Endovascular Today

Evaluation and Management of Acute Limb Ischemia
Reviewing the etiology, clinical factors, and management options.
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Acute limb ischemia (ALI) occurs due to the sudden cessation of arterial perfusion to an extremity. It is a common yet potentially devastating pathology occurring in 22 to 26 per 100,000 patients annually.
1 Compared with critical limb ischemia, ALI is associated with a higher amputation and mortality rate. As a result, rapid diagnosis and therapy are critical for the management of these patients.
Open surgical revascularization has been the mainstay of therapy; however, over the last several years, many percutaneous technologies have emerged that have provided alternative modalities of restoring perfusion. Despite these newer catheter-based techniques, the management of ALI remains particularly challenging because amputation rates are variable and range from 15% to 20% (despite therapy) and mortality rates approach 26% at 1 year.

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