Cor Vasa 2017, 59(5):e503-e506
A rare cause of acute limb ischemia of both upper and lower limbs caused by prolonged vasospasm
- a II. interní klinika kardiologie a angiologie, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze, Praha, Česká republika
- b Pracoviště radiodiagnostiky a intervenční radiologie, Institut klinické a experimentální medicíny, Praha, Česká republika
Acute limb ischemia is a life-threatening condition caused by various etiologies including atherothrombosis and peripheral embolization. However, in young adults other etiologies should also be considered. We report a rare case of a 19-year-old man developing acute limb ischemia of both upper and lower limbs due to prolonged vasospasm.
Keywords: Acute limb ischemia; Atherothrombosis; CT angiography; Embolization; Vasospasm
Received: December 10, 2016; Accepted: January 8, 2017; Published: October 1, 2017 Show citation
References
- L. Norgren, W. Hiatt, J. Dormandy, et al., Inter-society consensus for the management of peripheral arterial disease (TASC II), Journal of Vascular Surgery 45 (2007) S5-S67.
Go to original source...
Go to PubMed...
- E. Zavaleta, B. Fernandez, M. Grove, M. Kaye, St. Anthony's fire (ergotamine induced leg ischemia): a case report and review of the literature, Angiology 52 (2001) 349-356.
Go to original source...
Go to PubMed...
- S. Demir, S. Akin, F. Tercan, et al., Ergotamine-induced lower extremity arterial vasospasm presenting as acute limb ischemia, Diagnostic and Interventional Radiology 16 (2010) 165-167.
Go to PubMed...
- M.V. Raval, R.C. Gaba, K. Brown, et al., Percutaneous transluminal angioplasty in the treatment of extensive LSD-induced lower extremity vasospasm refractory to pharmacologic therapy, Journal of Vascular and Interventional Radiology 19 (2008) 1227-1230.
Go to original source...
Go to PubMed...
- G. Adam, T. Kurt, C. Cinar, et al., Ergotamine-induced vasospastic ischemia mimicking arterial embolism: unusual case, Ulusal Travma ve Acil Cerrahi Dergisi 20 (2014) 291-294.
Go to original source...
Go to PubMed...
- Z.K. Baldwin, C.C. Ceraldi, Ergotism associated with HIV antiviral protease inhibitor therapy, Journal of Vascular Surgery 37 (2003) 676-678.
Go to original source...
Go to PubMed...
- S.S. Dhawan, B.W. Wang, Four-extremity gangrene associated with crack cocaine abuse, Annals of Emergency Medicine 49 (2007) 186-189.
Go to original source...
Go to PubMed...
- C.M. McMullin, I. Bayat, E. Rytina, et al., Profound acute limb ischemia affecting all four limbs following cocaine inhalation, Journal of Vascular Surgery 61 (2015) 504-506.
Go to original source...
Go to PubMed...
- C. Karadeniz, F. Köse, H. Abali, et al., Severe systemic vasoconstriction starting with acute limb ischemia leading to death in a patient with well-differentiated pulmonary neuroendocrine carcinoma: a new paraneoplastic syndrome?, Acta Oncologica 51 (2012) 124-127.
Go to original source...
Go to PubMed...
- J. Kaneyama, O. Kawarada, S. Sakamoto, et al., Vasospastic limb ischemia presenting acute and chronic limb ischemia, Annals of Vascular Diseases 7 (2014) 169-172.
Go to original source...
Go to PubMed...