Acute Digital Ischemia Associated with Closed Injury
David Janák, David Ručka, Jaroslav Kudlička, Vilém Rohn, Jaroslav Linder, Otomar Kittnar
announced: 09. 10. 2015
Injury of an artery has a significantly worse prognosis for the patient than a venous injury. Blunt injuries of lower limb digital arteries with the development of acute ischemia present a very rare phenomenon. A crush mechanism with a defect of the non-wetted surface of vessel’s inner part and the development of subsequent thromboischemic lesion is essential for the development of ischemia. We report a blunt injury of the right lower limb in a patient after incorrect stepping with subsequent lesion of digital arteries and the development of acute acral ischemia of the right toes.
keywords: Ischemia; Trombolysis; Closed injury