2024 Volume 33 Issue 4 Pages 199-204
Acute limb ischemia (ALI) is a sudden decrease in lower limb arterial perfusion with a potential threat to not only the survival of the limb but also the life, requiring urgent evaluation and management. The etiology of ALI is broadly divided into embolism and thrombosis with various comorbidities. Severity and treatment strategy should be determined based on physical findings and image findings. Revascularization can be performed surgically (thromboembolectomy or bypass), endovascularly, or as a hybrid procedure. In all cases, it is important to perform intraoperative angiography and perform appropriate additional procedures. Prompt response to myonephric metabolic syndrome or compartment syndrome during or after revascularization is also essential. ALI is a serious condition requiring emergency treatment, and it is important to be familiar with all treatment options, including surgical and endovascular treatments, fasciotomy, and primary limb amputation, and to promptly provide the best initial treatment available at each facility.
