Journal List > Korean Circ J > v.26(1) > 1073244

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Rhee, Yoo, In, Kim, and Ko: Acute Arterial Occlusion of the Left Lower Extremity during Prolonged Fasting
Case Report
Korean Circulation Journal

Korean Circulation Journal 1996; 26(1): 155-160.

Published online: 28 February 1996

DOI: https://doi.org/10.4070/kcj.1996.26.1.155

Acute Arterial Occlusion of the Left Lower Extremity during Prolonged Fasting

Byung Hyun Rhee, M.D., Wan Hee Yoo, M.D., Byeong Hyun In, M.D., Won Ho Kim, M.D., Jae Ki Ko, M.D.

Copyright © 1996 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute arterial occlusion of the extremity may result from obstruction of an artery by embolism or by thrombosis in situ. This results in the sudden cessation of blood flow to an extremity. So immediate managements are required to prevent propagation of the clot and to restore blood flow to the ischemic extremity promptly.
We report a case of a acute arterial occlusion which was developed during prolonged fasting. A 59-year-old male was transferred due to severe ischemic pain, coldness and loss of pulse in left lower extremity during fast. The arteriogram shows a complete obstruction of external iliac artery and non-visualization of femoral artery and popliteotibial artery in the left lower extremity. Selective intra-arterial urokinase thrombolytic therapy and percutaneous transluminal angioplasty resulted in recannulation of obstructed artery and relief of symptoms.

Keywords: Acute arterial occlusion, Fasting, Intra-arterial thrombolysis

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