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  • Acute Limb Ischemia Classificiation

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    donkeyendut
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    The document presents a classification scheme for acute limb ischemia developed by the Society of Vascular Surgery and International Society of Cardiovascular Surgery. The scheme categorizes ischemia into four classes based on prognosis, sensory loss, muscle weakness, and arterial and venous Doppler findings. Class I and IIA limb ischemia can often be treated with intra-arterial thrombolysis if symptoms are less than 14 days, while class IIB and III usually require surgery as thrombolytics may not work quickly enough for embolic occlusions.

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    Acute Limb Ischemia (ALI) Classificiation

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    The document presents a classification scheme for acute limb ischemia developed by the Society of Vascular Surgery and International Society of Cardiovascular Surgery. The scheme categorizes ischemia into four classes based on prognosis, sensory loss, muscle weakness, and arterial and venous Doppler findings. Class I and IIA limb ischemia can often be treated with intra-arterial thrombolysis if symptoms are less than 14 days, while class IIB and III usually require surgery as thrombolytics may not work quickly enough for embolic occlusions.

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    48 visualizações1 página

    Acute Limb Ischemia Classificiation

    Enviado por

    donkeyendut
    The document presents a classification scheme for acute limb ischemia developed by the Society of Vascular Surgery and International Society of Cardiovascular Surgery. The scheme categorizes ischemia into four classes based on prognosis, sensory loss, muscle weakness, and arterial and venous Doppler findings. Class I and IIA limb ischemia can often be treated with intra-arterial thrombolysis if symptoms are less than 14 days, while class IIB and III usually require surgery as thrombolytics may not work quickly enough for embolic occlusions.

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    © All Rights Reserved
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    Sinalizar o conteúdo como inadequado
    de 1

    CLASSIFICATION SCHEME FOR

    ACUTE LIMB ISCHEMIA


    -from the Society of Vascular Surgery/International Society of Cardiovascular Surgery
    (Rutherford et al, 1997)
    Class
    I
    IIA
    IIB
    III

    Category
    Viable

    Prognosis

    No
    immediate
    limb threat
    Threatened: Salvageable
    marginal
    if treated
    promptly
    Threatened: Salvageable
    Immediate if treated
    immediately
    Irreversible Limb loss
    or
    permanent
    damage

    Sensory
    loss
    None

    Muscle
    weakness
    None

    Arterial
    Doppler
    Audible

    Venous
    Doppler
    Audible

    Minimalnone

    None

    +/Audible

    Audible

    More than
    just toes

    Mildmoderate

    Rare
    audible

    Audible

    Profound

    Profound

    None

    None

    1. Usually thrombotic occlusions are class I or IIA and are treated with intra-arterial
    thrombolysis if symptom duration <14 days (especially if bypass graft occlusion) and if
    patient has significant co-morbidities/high operative risk.
    2. Usually embolic occlusions are class IIB or III. They usually require surgery as
    thrombolytics take effect too slowly.

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