Acute Superficial Femoral Artery Thrombosis Diagnosed by Bedside Ultrasound
PDF

Keywords

arterial thrombosis
bedside ultrasound
peripheral artery disease

How to Cite

Tawil, C. E., Jreige, R., & Sebbane , M. (2019). Acute Superficial Femoral Artery Thrombosis Diagnosed by Bedside Ultrasound. Mediterranean Journal of Emergency Medicine, (27), 23-24. Retrieved from http://mjemonline.com/index.php/mjem/article/view/105

Abstract

A 66-year-old male patient with a history of peripheral artery disease presented with left lower extremity pain of 5 days duration exacerbated few hours ago. Bedside ultrasound, performed by the emergency physician, showed a patent left common femoral artery and an echogenicity obturating the lumen of the left superficial femoral artery with almost complete absence of flow on Doppler flow meter at this level. Computed tomography angiography confirmed the diagnosis and the patient was admitted for anticoagulation and surgical repair. Bedside ultrasound can help in the diagnosis of arterial thrombosis and prompt faster management and disposition.

PDF

References

Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG, et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg 2007; 45:S5-67.

Ouriel K, Veith FJ, Sasahara AA. A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. Thrombolysis or peripheral arterial surgery (TOPAS) investigators. N Engl J Med 1998; 338:1105-11.

Callum K, Bradbury A. Acute limb ischaemia. BMJ 2000; 320:764-7.

Largiadèr J, Schneider E. Therapy of acute peripheral arterial occlusion. Herz 1991; 16:456-62.

Luja´n S, Criado E, Puras E, Izquierdo LM. Duplex scanning or arteriography for preoperative planning of lower limb revascularisation. Eur J Vasc Endovasc Surg 2002; 24:31–6.

Rolston DM, Saul T, Wong T, Lewiss RE. Bedside ultrasound diagnosis of acute embolic femoral artery occlusion. J Emerg Med 2013; 45:897-900.

Lewiss RE, Kaban NL, Saul T. Point-of-Care Ultrasound for a Deep Venous Thrombosis. Glob Heart 2013; 8:329-33.

Knowles M, Timaran CH. Epidemiology of Acute Critical Limb Ischemia. In: Dieter R, Dieter Jr R, Dieter R, Nanjundappa A (eds) Critical Limb Ischemia. Springer, Cham.

Costa G, Tierno SM, Tomassini F, Venturini L, Frezza B, Cancrini G, et al. The epidemiology and clinical evaluation of abdominal trauma. An analysis of amultidisciplinary trauma registry. Ann Ital Chir. 2010; 81:95-102.

Shishehbor MH. Acute and critical limb ischemia: when time is limb. Cleve Clin J Med 2014; 81:209-16.