Acute ischemia of the lower extremity in the pediatric population: a protocol for management.
Each year, a large number of infants and children undergo vascular catheterization via access in a lower extremity. The femoral system is relatively easy to cannulate, and this approach avoids use of more central access approaches that may present more serious complications. Infrequently, however, pediatric patients develop acute ischemia of the ipsilateral lower extremity. Several surgical and nonsurgical treatment options exist for the management of such problems. However, no adequate protocol exists for the management of acute lower extremity ischemia in the pediatric population. The authors present several cases of distal lower extremity ischemia as a result of femoral artery catheterization and offer a protocol for management of similar cases.
Taub
Peter J
PJ
Division of Plastic and Reconstructive Surgery, Maria Fareri Children's Hospital, Valhalla, NY, USA. peter@pjtaub.com
O'Connell
James P
JP
Singh
Aalok
A
Pinto
Alan
A
Kapklein
Matthew
M
Goltzman
Carey
C
Koch
R Michael
RM
D000208:Acute Disease; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D002675:Child, Preschool; D002985:Clinical Protocols; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007223:Infant; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D035002:Lower Extremity / Q000503:physiopathology*; D008297:Male