Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia

Alan M. Dietzek; Jamie Goldsmith; Frank J. Veith; Luis A. Sanchez; Sushil K. Gupta; Kurt R. Wengerter

doi:10.1067/mva.1990.25254

Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia

Alan M. Dietzek, Jamie Goldsmith, Frank J. Veith, Luis A. Sanchez, Sushil K. Gupta, Kurt R. Wengerter

Research output: Contribution to journal › Article › peer-review

35 Scopus citations

Abstract

In patients with aortoiliac occlusive disease interruption of critical collaterals during another nonvascular or cardiac operation may threaten limb viability. This occurred in four patients whose limb-threatening ischemia was precipitated by radical cystectomy with bilateral hypogastric artery ligation, left colon resection, or coronary artery revascularizations by means of the internal mammary artery. Important collateral pathways, the interruption of which may account for this phenomenon, are detailed, and approaches are outlined for prevention and management of acute ischemia in this setting. (J VASC SURG 1990;12:645-53.)

Original language	English
Pages (from-to)	645-653
Number of pages	9
Journal	Journal of Vascular Surgery
Volume	12
Issue number	6
DOIs	https://doi.org/10.1067/mva.1990.25254
State	Published - 1990

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10.1067/mva.1990.25254

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title = "Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia",

abstract = "In patients with aortoiliac occlusive disease interruption of critical collaterals during another nonvascular or cardiac operation may threaten limb viability. This occurred in four patients whose limb-threatening ischemia was precipitated by radical cystectomy with bilateral hypogastric artery ligation, left colon resection, or coronary artery revascularizations by means of the internal mammary artery. Important collateral pathways, the interruption of which may account for this phenomenon, are detailed, and approaches are outlined for prevention and management of acute ischemia in this setting. (J VASC SURG 1990;12:645-53.)",

author = "Dietzek, {Alan M.} and Jamie Goldsmith and Veith, {Frank J.} and Sanchez, {Luis A.} and Gupta, {Sushil K.} and Wengerter, {Kurt R.}",

note = "Funding Information: Supported in part by the Manning Foundation, the Anna S. Brown Trust, the Hunter Surgical Research Fund, and the New York Institute for Vascular Studies. ",

year = "1990",

doi = "10.1067/mva.1990.25254",

language = "English",

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journal = "Journal of Vascular Surgery",

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T1 - Interruption of critical aortoiliac collateral circulation during nonvascular operations

T2 - A cause of acute limb-threatening ischemia

AU - Dietzek, Alan M.

AU - Goldsmith, Jamie

AU - Veith, Frank J.

AU - Sanchez, Luis A.

AU - Gupta, Sushil K.

AU - Wengerter, Kurt R.

N1 - Funding Information: Supported in part by the Manning Foundation, the Anna S. Brown Trust, the Hunter Surgical Research Fund, and the New York Institute for Vascular Studies.

PY - 1990

Y1 - 1990

N2 - In patients with aortoiliac occlusive disease interruption of critical collaterals during another nonvascular or cardiac operation may threaten limb viability. This occurred in four patients whose limb-threatening ischemia was precipitated by radical cystectomy with bilateral hypogastric artery ligation, left colon resection, or coronary artery revascularizations by means of the internal mammary artery. Important collateral pathways, the interruption of which may account for this phenomenon, are detailed, and approaches are outlined for prevention and management of acute ischemia in this setting. (J VASC SURG 1990;12:645-53.)

AB - In patients with aortoiliac occlusive disease interruption of critical collaterals during another nonvascular or cardiac operation may threaten limb viability. This occurred in four patients whose limb-threatening ischemia was precipitated by radical cystectomy with bilateral hypogastric artery ligation, left colon resection, or coronary artery revascularizations by means of the internal mammary artery. Important collateral pathways, the interruption of which may account for this phenomenon, are detailed, and approaches are outlined for prevention and management of acute ischemia in this setting. (J VASC SURG 1990;12:645-53.)

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SN - 0741-5214

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EP - 653

JO - Journal of Vascular Surgery

JF - Journal of Vascular Surgery

IS - 6

ER -

Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia

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