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Acute Peripheral Arterial Disease

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Abstract

Acute limb ischemia (ALI) is a pathological condition resulting from a sudden blood interruption (or, at least, from an important reduction in flow) limiting tissues’ survival. ALI is always a serious event requiring immediate diagnosis and treatment, also considering the high associated amputation risk. The most frequent causes of acute limb ischemia are embolism, thrombosis, and trauma. Clinical findings are grouped together in a series mnemonic note as “6P of Pratt”: pain, pallor, pulselessness, poikilothermia, paresthesia, and paralysis. Those in concert with duplex ultrasound assume a primary and crucial role in diagnostic and preoperative evaluation of ALI patients. Treatment for ALI largely depends on the clinical presentation according to Rutherford’s classification. When indication for surgery is posed, several open, endovascular, and hybrid procedures are developed to restore blood flow in acute patients.

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Authors and Affiliations

  1. Vascular and Endovascular Surgery, Department of Surgery “Paride Stefanini”, “Policlinico Umberto I”, “Sapienza” Università di Roma, Viale del Policlinico, 155, 00161, Rome, Italy

    Francesco Speziale, Pasqualino Sirignano, Simone Cuozzo, Wassim Mansour, Chiara Pranteda, Martina Formiconi, Alessandro d’Adamo & Laura Capoccia

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  1. Francesco Speziale
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  2. Pasqualino Sirignano
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  3. Simone Cuozzo
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  4. Wassim Mansour
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  5. Chiara Pranteda
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  6. Martina Formiconi
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  7. Alessandro d’Adamo
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  8. Laura Capoccia
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Corresponding author

Correspondence to Pasqualino Sirignano .

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Editors and Affiliations

  1. Department of General and Mininvasive Surgery, Cristo Re Hospital, Rome, Italy

    Antonio Crucitti

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Speziale, F. et al. (2018). Acute Peripheral Arterial Disease. In: Crucitti, A. (eds) Surgical Management of Elderly Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-60861-7_17

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  • DOI: https://doi.org/10.1007/978-3-319-60861-7_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60860-0

  • Online ISBN: 978-3-319-60861-7

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