Management of post-arterial catheterization lower limbs ischemia

ABSTRACT

Thirty one cases of iatrogenic acute lower limbs ischemia following diagnostic or therapeutic arterial catheterization were referred to and managed by the vascular surgery team, Ain Shams University Hospital, over a two year period. Thrombosis, spasm [with or without thrombosis], dissection, traumatic arteriovenous fistula and perforation were the common clinico-pathologic presentations. Surgical interference was resorted to in 21 cases [67.7%] while a conservative policy was followed in the rest [32.3%]. The different clinical settings are reviewed and the results are discussed in this study