Abstract
Most patients with ischemic syndromes of the upper or lower extremity have arteriosclerotic or primary vascular disease. There are however a number of examples of circulatory insufficiency that occur as a result of medical therapy—either intentional or unexpected in nature. We have seen a number of such examples including a steal syndrome after AV fistula creation for dialysis or radial artery thrombosis following radial artery pressure monitors.
Interventional procedures such as angiography may lead to emboli or thrombosis. Hydrophilic polymer catheters may flake and create distal emboli with secondary distal ischemia. Orthopedic surgery has led to disruption of iliac arteries or transection of the popliteal vessels. Dissection of aortic aneurysms or tumors may induce distal embolization. Certain medications may induce endovascular clotting or vascular spasm. These problems may be minimized with care but not totally eliminated. Thus, there is the need for awareness.
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A special thank you to Diane Paulini, Library Coordinator, Elmhurst Memorial Healthcare, Elmhurst, Illinois, Soukup Herter Library and Resource Center, for her assistance in locating the appropriate reference articles and to Lynn Murawski for typing and the preparation of the chapter.
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Dieter, R.A., Kuzycz, G.B., Dieter, R.A., Morrow, D.W. (2017). Iatrogenic Extremity Ischemia with the Potential for Amputation. In: Dieter, R., Dieter, Jr, R., Dieter, III, R., Nanjundappa, A. (eds) Critical Limb Ischemia. Springer, Cham. https://doi.org/10.1007/978-3-319-31991-9_22
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