title: Evidence for nonoperative management of acute limb ischemia in infants.
abstract: Acute limb ischemia (ALI) in infants is a catastrophic event. We performed a query of our database to determine those with ALI. Twelve patients were identified. The most frequent presentation was cyanotic limbs. Eleven patients were treated nonoperatively with anticoagulation. One patient was treated surgically with Fogarty balloon thrombectomy. There were three deaths all due to associated comorbidities. All had viable limbs on follow-up examination. There were three complications in the patients managed conservatively. Our recommendation for infants presenting with ALI is conservative observation with anticoagulation and intervention only for cases with tissue loss.
authors: Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
authors: Jesus M
authors: JM
authors: Matos
authors: Andres
authors: A
authors: Fajardo
authors: Michael C
authors: MC
authors: Dalsing
authors: Raghu
authors: R
authors: Motaganahalli
authors: George A
authors: GA
authors: Akingba
authors: Michael P
authors: MP
authors: Murphy
mesh_terms: D000208:Acute Disease; D000925:Anticoagulants / Q000008:administration & dosage*; D002404:Catheterization / Q000009:adverse effects / Q000379:methods; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007511:Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000401:mortality / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D015996:Survival Rate; D017131:Thrombectomy / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods; D014654:Vascular Patency / Q000502:physiology
chemical_list: D000925:Anticoagulants