Show Summary Details
Page of

Acute lower limb ischaemia 

Acute lower limb ischaemia
Acute lower limb ischaemia

D. Julian A. Scott

and Jai V. Patel

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 04 July 2020

Acute lower limb ischaemia is a common vascular surgical emergency. Patients present with a painful, pulseless, leg with varying degrees of sensory and motor deficit, depending on the stage and severity of ischaemia. The condition mandates prompt diagnosis as delay in administering definitive treatment can have catastrophic consequences to both the limb and the patient. A rapid assessment of the underlying aetiology (embolic vs. in situ thrombosis) and the stage of ischaemia at presentation (irreversible vs. threatened vs. viable) is essential. Imaging, although very useful in guiding management in the threatened or viable limb, should not delay definitive treatment, and may be inappropriate in the irreversibly or immediately threatened ischaemic limb. Definitive treatment should be tailored to the individual patient’s presentation and circumstances, utilizing both vascular and endovascular options.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.