title: Acute Digital Ischemia Associated with Closed Injury.
abstract: Injury of an artery has a significantly worse prognosis for the patient than a venous injury. Blunt injuries of lower limb digital arteries with the development of acute ischemia present a very rare phenomenon. A crush mechanism with a defect of the non-wetted surface of vessel's inner part and the development of subsequent thromboischemic lesion is essential for the development of ischemia. We report a blunt injury of the right lower limb in a patient after incorrect stepping with subsequent lesion of digital arteries and the development of acute acral ischemia of the right toes.
authors.affiliation: 2nd Department of Surgery - Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic. janakdavid@seznam.cz.|Institute of Physiology, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic. janakdavid@seznam.cz.
authors.forename: David
authors.initials: D
authors.lastname: Janák
authors.affiliation: 2nd Department of Medicine - Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
authors.forename: David
authors.initials: D
authors.lastname: Ručka
authors.affiliation: 3rd Department of Medicine - Department of Endocrinology and Metabolism, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Kudlička
authors.affiliation: 2nd Department of Surgery - Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
authors.forename: Vilém
authors.initials: V
authors.lastname: Rohn
authors.affiliation: 2nd Department of Surgery - Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Lindner
authors.affiliation: Institute of Physiology, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
authors.forename: Otomar
authors.initials: O
authors.lastname: Kittnar
mesh_terms: D000328:Adult; D000792:Angiography; D018409:Foot Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D014034:Toes / Q000098:blood supply* / Q000000981:diagnostic imaging; D057772:Vascular System Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging
keywords: Closed injury; Ischemia; Trombolysis