title: Acute ischemia of the lower extremity in the pediatric population: a protocol for management.
abstract: 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.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Maria Fareri Children's Hospital, Valhalla, NY, USA. peter@pjtaub.com
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Taub
authors.forename: James P
authors.initials: JP
authors.lastname: O'Connell
authors.forename: Aalok
authors.initials: A
authors.lastname: Singh
authors.forename: Alan
authors.initials: A
authors.lastname: Pinto
authors.forename: Matthew
authors.initials: M
authors.lastname: Kapklein
authors.forename: Carey
authors.initials: C
authors.lastname: Goltzman
authors.forename: R Michael
authors.initials: RM
authors.lastname: Koch
mesh_terms: 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