Open AccessMANAGEMENT OF NECROTIC LESIONS IN CHRONIC LIMB ISCHEMIA
Author(s) -
Cristian Sandu,
Corina Constantin,
Laura Răducu,
Oriana Moraru,
C. A. Vișan
Publication year - 2015
Publication title -
journal of surgical sciences
Language(s) - English
Resource type - Journals
eISSN - 2457-5364
pISSN - 2360-3038
DOI - 10.33695/jss.v2i1.94
Subject(s) - medicine , gangrene , surgery , paraplegia , claudication , intermittent claudication , ischemia , blood flow , occlusion , vascular disease , anesthesia , cardiology , spinal cord , arterial disease , psychiatry
Peripheral vascular disease commonly affects the arteries supplying the leg and is mostly caused by atherosclerosis. Restriction of blood flow due to arterial stenosis or occlusion often leads patients to complain of muscle pain on walking (intermittent claudication). Any further reduction in blood flow causes ischemic pain at rest, affecting by consequence the extremity. Ulceration and gangrene may then supervene and can result in loss of the limb if not treated. We present the case of a 55 year old male, C.I., with tissue necrosis of the right calf, aching pain at rest in the distal foot and disabling claudication (stage IV Fontaine PAOD).The patient’s history reveals that he is a former smoker undergoing anticoagulation and vasodilation treatment. He also suffered severe spinal cord injury leading to paraplegia in 2008, a laryngeal neoplasm surgery in 2013 and a PTA with stent placement in the proximal right CIA.