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ACUTE UPPER LIMB ISCHAEMIA IN DIABETIC PATIENTS - A RECENT EXPERIENCE.
BACKGROUND: The outcome of acute upper limb ischaemia in diabetic patients is not well known. We report our recent experience with 5 patients.
METHOD: Retrospective case reviews.
RESULTS: All patients presented with Rutherford 2b ischaemia at a median 1.6 days after symptom onset. Age range: 43-76 years. M:F 1:4. Mean HbA1c: 10.1% (range 6.1 - 14.0) Mean LDL cholesterol: 3.1g/dL (range 1.61 - 4.80) Other comorbidities included: Ischaemic heart disease, atrial fibrillation, dyslipidaemia, hypertension, morbid obesity. One patient was an ex-smoker. Four patients had preoperative CT angiograms. All patients underwent Fogarty catheter embolectomy of the forearm and arm arteries as initial procedure as well as forearm fasciotomy in 3 patients.
CONCLUSION: Acute upper limb ischaemia in patients with diabetes appears to carry a grave prognosis for limb salvage (20% in this group). Re-intervention was associated with subsequent amputation. Proximal arterial disease can occur but the common finding of occlusive disease in the run-off vessels of the arm, as in this group, may account for the high limb-loss rate.
METHOD: Retrospective case reviews.
RESULTS: All patients presented with Rutherford 2b ischaemia at a median 1.6 days after symptom onset. Age range: 43-76 years. M:F 1:4. Mean HbA1c: 10.1% (range 6.1 - 14.0) Mean LDL cholesterol: 3.1g/dL (range 1.61 - 4.80) Other comorbidities included: Ischaemic heart disease, atrial fibrillation, dyslipidaemia, hypertension, morbid obesity. One patient was an ex-smoker. Four patients had preoperative CT angiograms. All patients underwent Fogarty catheter embolectomy of the forearm and arm arteries as initial procedure as well as forearm fasciotomy in 3 patients.
CONCLUSION: Acute upper limb ischaemia in patients with diabetes appears to carry a grave prognosis for limb salvage (20% in this group). Re-intervention was associated with subsequent amputation. Proximal arterial disease can occur but the common finding of occlusive disease in the run-off vessels of the arm, as in this group, may account for the high limb-loss rate.
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